| John M Shepard, PA-C | |
|
6807 Knightdale Blvd Ste C, Knightdale, NC 27545-6563 | |
| (919) 217-5510 | |
| (919) 217-5501 |
| Full Name | John M Shepard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 6807 Knightdale Blvd Ste C, Knightdale, North Carolina |
| 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 |
|---|---|---|---|
| 1952958548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-09364 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 650 |
| Entity Name | Raleigh Orthopaedic Clinic PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235137563 PECOS PAC ID: 9032012638 Enrollment ID: O20040714000258 |
| Entity Name | Cape Fear Physical Medicine and |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134226301 PECOS PAC ID: 2062455231 Enrollment ID: O20050608000657 |
| Entity Name | Forefront Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326532169 PECOS PAC ID: 3779471701 Enrollment ID: O20180821002003 |
| Mailing Address | Practice Location Address |
|---|---|
| John M Shepard, PA-C 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | John M Shepard, PA-C 6807 Knightdale Blvd Ste C, Knightdale, NC 27545-6563 Ph: (919) 217-5510 |
Kathryn Rena Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6905 Knightdale Blvd Ste 106, Knightdale, NC 27545 Phone: 919-261-8760 Fax: 919-261-8765 |
Mrs. Allison Brooke Robey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6602 Knightdale Blvd Ste 102, Knightdale, NC 27545 Phone: 919-747-5210 |
Mr. Christopher R Marshall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 162 Legacy Oaks Dr, Knightdale, NC 27545 Phone: 919-373-1800 Fax: 919-373-1830 |
Chad Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7201 Us 64 Hwy E, Knightdale, NC 27545 Phone: 919-751-5900 |
Austin James Renaud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7790 Knightdale Blvd, Knightdale, NC 27545 Phone: 919-220-5255 Fax: 919-220-6971 |
Mr. Frank Joseph Ferritto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6807 Knightdale Blvd Ste C, Knightdale, NC 27545 Phone: 919-217-5510 Fax: 919-217-5501 |
Christine Benigar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6807 Knightdale Blvd Ste C, Knightdale, NC 27545 Phone: 919-217-5510 Fax: 919-217-5501 |