| Justin Shepherd, PA-C | |
|
200 S Main St, Rich Square, NC 27869 | |
| (252) 539-2082 | |
| Not Available |
| Full Name | Justin Shepherd |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 200 S Main St, Rich Square, 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 |
|---|---|---|---|
| 1205340247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07726 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ecu Health North Hospital | Roanoke rapids, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Med First Immediate Care And Family Practice Pa | 0446332720 | 94 |
| Rural Health Group Inc | 9739090226 | 65 |
| Entity Name | Rural Health Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689626178 PECOS PAC ID: 9739090226 Enrollment ID: O20050708000124 |
| Entity Name | Med First Immediate Care & Family Practice PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053503763 PECOS PAC ID: 0446332720 Enrollment ID: O20080124000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Shepherd, PA-C 200 S Main St, Rich Square, NC 27869-9582 Ph: (252) 539-2082 | Justin Shepherd, PA-C 200 S Main St, Rich Square, NC 27869 Ph: (252) 539-2082 |
Mrs. Delina Joset Davis-cooley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Main St, Rich Square, NC 27869 Phone: 252-539-2028 Fax: 252-539-2898 |