| Mr Joshua Wayne Shepherd, PA-C | |
|
165 Westmoreland St, Harrogate, TN 37752-8202 | |
| (423) 869-7193 | |
| (423) 869-7195 |
| Full Name | Mr Joshua Wayne Shepherd |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 165 Westmoreland St, Harrogate, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134405558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2060 (Tennessee) | Primary |
| Entity Name | Servolution Health Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629330923 PECOS PAC ID: 3072884410 Enrollment ID: O20170803002753 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joshua Wayne Shepherd, PA-C 165 Westmoreland St, Harrogate, TN 37752-8202 Ph: (423) 869-7193 | Mr Joshua Wayne Shepherd, PA-C 165 Westmoreland St, Harrogate, TN 37752-8202 Ph: (423) 869-7193 |
Miss Camryn Enola O'leary, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy # 134-a, Harrogate, TN 37752 Phone: 832-776-4706 |
Stacy Hall, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6976 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3332 |
Kathryn Rymdeika, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-7200 |
Melanie Ahart, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-7200 |
Lauren Contreras, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 323-527-7525 |
Rita Arkhipenko, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 |
Randi Michelle Johnson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3600 |