| Jacob Shaffer, APRN, FNP-BC | |
|
1035 W Wayne St, Paulding, OH 45879-1544 | |
| (800) 741-1743 | |
| Not Available |
| Full Name | Jacob Shaffer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1035 W Wayne St, Paulding, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417470089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.021349 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice - The Caring Way | Van wert, OH | Hospice |
| Paulding County Hospital | Paulding, OH | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paulding County Hospital Physician Services | 8820983893 | 18 |
| Entity Name | Paulding County Hospital Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744843 PECOS PAC ID: 8820983893 Enrollment ID: O20040218000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Shaffer, APRN, FNP-BC 7038 County Road 424, Antwerp, OH 45813-9520 Ph: () - | Jacob Shaffer, APRN, FNP-BC 1035 W Wayne St, Paulding, OH 45879-1544 Ph: (800) 741-1743 |
Melanie Banks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1035 W Wayne St, Paulding, OH 45879 Phone: 419-399-4080 | |
Julie Arend, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1032 W. Wayne St, Paulding, OH 45879 Phone: 419-399-1782 Fax: 419-399-1751 | |
Brandy Lee Carlisle, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10693 State Route 500, Paulding, OH 45879 Phone: 419-789-3849 |