| Dr Jodie Shipley, DNP | |
|
6805 Il 162, Suite 201, Maryville, IL 62062 | |
| (618) 288-5019 | |
| Not Available |
| Full Name | Dr Jodie Shipley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6805 Il 162, Maryville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811603376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209027059 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community And Long-term Care Psychiatry Llc | 4486949773 | 14 |
| Southern Illinois Associates Llc | 2961489992 | 16 |
| Entity Name | Community and Long-term Care Psychiatry LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699121475 PECOS PAC ID: 4486949773 Enrollment ID: O20160825001678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jodie Shipley, DNP 7955 Lebanon Rd, Troy, IL 62294-2805 Ph: (618) 960-8991 | Dr Jodie Shipley, DNP 6805 Il 162, Suite 201, Maryville, IL 62062 Ph: (618) 288-5019 |
Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 |
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461 |
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2236 Vadalabene Dr, Maryville, IL 62062 Phone: 618-726-2229 Fax: 618-726-2225 |
Jessica Lynn Sheffer, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 |
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 |
Jasmine Cowan, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24b Professional Park Dr, Maryville, IL 62062 Phone: 505-400-4789 Fax: 618-615-4091 |
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 |