| Edalyn Shaw, | |
|
1475 Nashville Rd, Franklin, KY 42134-6961 | |
| (270) 813-1111 | |
| Not Available |
| Full Name | Edalyn Shaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1475 Nashville Rd, Franklin, Kentucky |
| 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 |
|---|---|---|---|
| 1134924459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4035097 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Kentucky, Pllc | 0143525998 | 180 |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Entity Name | Fast Pace Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
| Mailing Address | Practice Location Address |
|---|---|
| Edalyn Shaw, Po Box 306414, Nashville, TN 37230-6414 Ph: () - | Edalyn Shaw, 1475 Nashville Rd, Franklin, KY 42134-6961 Ph: (270) 813-1111 |
Dana A. Osborne, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Memorial Dr, Franklin, KY 42134 Phone: 270-586-9533 Fax: 270-586-0123 | |
Mrs. Deborah Settle, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2320 Bowling Green Rd, Franklin, KY 42134 Phone: 270-586-2264 | |
Andrea M Broughton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1112 S Main St Ste 7, Franklin, KY 42134 Phone: 270-745-7246 Fax: 270-282-2027 | |
Keileigh Gregory, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1112 S Main St, Franklin, KY 42134 Phone: 270-598-9595 Fax: 270-598-9590 | |
Dzenana Kadric, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1112 S Main St, Franklin, KY 42134 Phone: 270-482-0101 | |
Jennifer L Delk, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1112 S Main St, Franklin, KY 42134 Phone: 270-586-1969 Fax: 270-586-1914 |