| Jennifer Dawn Shafer, NP | |
|
5604 E White Oak Ln, Marengo, IN 47140-8413 | |
| (812) 365-3221 | |
| (812) 365-9502 |
| Full Name | Jennifer Dawn Shafer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 5604 E White Oak Ln, Marengo, Indiana |
| 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 |
|---|---|---|---|
| 1366790776 | NPI | - | NPPES |
| 201110950 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28168433A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71004086A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Hospital | Corydon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harrison County Hospital | 9032007208 | 45 |
| Entity Name | Harrison County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790892727 PECOS PAC ID: 9032007208 Enrollment ID: O20040406000076 |
| Entity Name | Southern Indiana Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Dawn Shafer, NP 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3944 | Jennifer Dawn Shafer, NP 5604 E White Oak Ln, Marengo, IN 47140-8413 Ph: (812) 365-3221 |
Howard D Detweiler, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5604 E White Oak Ln, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 | |
Elisabeth Ann Throop, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5604 E White Oak Ln, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 | |
Susan Stein, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 South Second Street, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 |