| Kenneth Shane Hyman, | |
|
10272 Hidden Park Way, Peyton, CO 80831-8353 | |
| (903) 276-2528 | |
| Not Available |
| Full Name | Kenneth Shane Hyman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 10272 Hidden Park Way, Peyton, Colorado |
| 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 |
|---|---|---|---|
| 1942859152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN.0995047-NP (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Housecalls Llc | 0840212809 | 89 |
| Entity Name | Physician Housecalls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789824 PECOS PAC ID: 0840212809 Enrollment ID: O20051219001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Shane Hyman, 10272 Hidden Park Way, Peyton, CO 80831-8353 Ph: (903) 276-2528 | Kenneth Shane Hyman, 10272 Hidden Park Way, Peyton, CO 80831-8353 Ph: (903) 276-2528 |
Alyssa Kersch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12235 Angelina Dr, Peyton, CO 80831 Phone: 310-941-4822 | |
Ms. Melissa E Cooper, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7475 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-495-9994 | |
Richelle Aura Power, MSN CNM PMHNP-BC MPH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10523 Rolling Peaks Dr, Peyton, CO 80831 Phone: 719-287-4782 | |
Ms. Charmaine Poling Smith, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9381 Morfontaine Rd, Peyton, CO 80831 Phone: 719-494-8483 | |
Nancy Jelimo Tallam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9642 Fairway Glen Dr, Peyton, CO 80831 Phone: 571-234-7455 | |
Karen Migliaccio, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7641 Mclaughlin Rd, Peyton, CO 80831 Phone: 719-495-4554 Fax: 719-495-0882 | |
Brittany Mae Mckenny, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7085 Mitchellville Way, Peyton, CO 80831 Phone: 720-394-8000 |