Mr Shane T Eberhardt, PMHNP-BC | |
400 S Broadway St, Burlington, IA 52601-9407 | |
(319) 768-5858 | |
Not Available |
Full Name | Mr Shane T Eberhardt |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 400 S Broadway St, Burlington, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992402655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G173329 (Iowa) | Primary |
Entity Name | Community Health Centers Of Southeastern Iowa Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
Mailing Address | Practice Location Address |
---|---|
Mr Shane T Eberhardt, PMHNP-BC 1706 W Agency Rd, West Burlington, IA 52655-1667 Ph: (319) 768-5858 | Mr Shane T Eberhardt, PMHNP-BC 400 S Broadway St, Burlington, IA 52601-9407 Ph: (319) 768-5858 |
Andrew Monroe, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 N 3rd St, Burlington, IA 52601 Phone: 319-428-9355 Fax: 319-671-6580 | |
Terri L Brinck, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 903 Oak St, Burlington, IA 52601 Phone: 319-758-9133 | |
Katherine Jeanne Lowary, DNP, ARNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 N 6th St Ste 7, Burlington, IA 52601 Phone: 319-237-1732 | |
Emily S Mynatt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 506 Jefferson St, Burlington, IA 52601 Phone: 319-750-4586 | |
Lisa J Prewitt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N 8th St, Burlington, IA 52601 Phone: 319-753-6209 Fax: 319-753-0181 | |
Michelle S Prisner, DNP FNP-BC PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 903 Oak St, Burlington, IA 52601 Phone: 319-209-2150 Fax: 319-209-2149 | |
Delaney Dyanna Richards, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606 Spring St, Burlington, IA 52601 Phone: 319-750-9027 |