| Kevin D Shields, PA-C | |
|
122 Columbus Rd, Fredericktown, OH 43019-1266 | |
| (740) 694-1261 | |
| (740) 694-7145 |
| Full Name | Kevin D Shields |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 122 Columbus Rd, Fredericktown, 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 |
|---|---|---|---|
| 1689031338 | NPI | - | NPPES |
| 01588381 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.004569RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home Ii | Columbus, OH | Home health agency |
| Knox Community Hospital | Mount vernon, OH | Hospital |
| Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Health Network Of Ohio, Llc | 3173427721 | 53 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin D Shields, PA-C 122 Columbus Rd, Fredericktown, OH 43019-1266 Ph: (740) 694-1261 | Kevin D Shields, PA-C 122 Columbus Rd, Fredericktown, OH 43019-1266 Ph: (740) 694-1261 |
David Morris Lamport, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 122 Columbus Rd, Fredericktown, OH 43019 Phone: 740-694-1261 Fax: 740-694-7145 |