| Delana Shoemake, NP | |
|
1059 Barton Dr, Fordland, MO 65652-7350 | |
| (417) 767-2273 | |
| (417) 767-4054 |
| Full Name | Delana Shoemake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1059 Barton Dr, Fordland, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932963360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2024004874 (Missouri) | Primary |
| Entity Name | Fordland Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881607612 PECOS PAC ID: 5597794552 Enrollment ID: O20050913000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Delana Shoemake, NP 1059 Barton Dr, Fordland, MO 65652-7350 Ph: (417) 767-2273 | Delana Shoemake, NP 1059 Barton Dr, Fordland, MO 65652-7350 Ph: (417) 767-2273 |
Robert Gordon Marsh, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1059 Barton Dr, Fordland, MO 65652 Phone: 417-767-2273 Fax: 417-767-4054 | |
Debby Sue Carl, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1059 Barton Dr, Fordland, MO 65652 Phone: 417-776-7227 | |
Stephane Counts, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1059 Barton Dr, Fordland, MO 65652 Phone: 417-767-2273 Fax: 417-767-4054 |