| Marina Shields, | |
|
3011 N Michigan St, Pittsburg, KS 66762-2546 | |
| (620) 231-9873 | |
| Not Available |
| Full Name | Marina Shields |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3011 N Michigan St, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316713589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 13-149268-032 (Kansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-82889-032 (Kansas) | Primary |
| Entity Name | Community Health Center Of Southeast Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Shields, Po Box 1832, Pittsburg, KS 66762-1832 Ph: (620) 231-9873 | Marina Shields, 3011 N Michigan St, Pittsburg, KS 66762-2546 Ph: (620) 231-9873 |
Stacey E Bacon, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 S Broadway St, Pittsburg, KS 66762 Phone: 620-235-4452 | |
Tracy M Orellana, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-240-5600 | |
Judith A Coltharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 Fax: 620-235-7913 | |
Sarah Diane Stinebaugh, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N Broadway St Ste B, Pittsburg, KS 66762 Phone: 620-203-2903 Fax: 620-710-7630 | |
Tarah Cuppett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 888-777-9170 | |
Kayla Marie Crowell, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 E Atkinson Ave, Pittsburg, KS 66762 Phone: 620-231-5411 Fax: 620-235-7134 | |
Miss Sheina Michelle Huffman, ARNP-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 620-231-5062 |