| Kevin D Shields, PA-C | |
|
1661 Venture Dr, Mount Vernon, OH 43050-8928 | |
| (740) 393-9766 | |
| (740) 390-6361 |
| Full Name | Kevin D Shields |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1661 Venture Dr, Mount Vernon, 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 |
|---|---|---|
| Centerwell Home Health Ii | Mount vernon, 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 | 54 |
| Entity Name | American Health Network of Ohio, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386675544 PECOS PAC ID: 3173427721 Enrollment ID: O20031125000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin D Shields, PA-C 1661 Venture Dr, Mount Vernon, OH 43050-8928 Ph: (740) 393-9766 | Kevin D Shields, PA-C 1661 Venture Dr, Mount Vernon, OH 43050-8928 Ph: (740) 393-9766 |
Kristiana L Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10 Woodlake Trl Ste C, Mount Vernon, OH 43050 Phone: 740-392-7337 Fax: 740-392-7333 |
Marissa Lynne Walaszek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Coshocton Ave # H, Mount Vernon, OH 43050 Phone: 740-326-6552 |
Raymond Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 |
Antonia Artise Erndt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 |
Layne Hartnell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Harcourt Rd Ste 2, Mount Vernon, OH 43050 Phone: 740-326-6069 |
Mr. Randy L Orsborn, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1490 Coshocton Ave, Ste B, Mount Vernon, OH 43050 Phone: 740-393-9111 Fax: 740-399-3161 |