| Mr Shayne Philip Blevins, NP-C | |
|
Po Box 100, Wellpinit, WA 99040-0100 | |
| (509) 258-4517 | |
| Not Available |
| Full Name | Mr Shayne Philip Blevins |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | Po Box 100, Wellpinit, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538305057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN00152476 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60070792 (Washington) | Primary |
| Entity Name | Northwest Physician Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275567919 PECOS PAC ID: 4183523806 Enrollment ID: O20031231000754 |
| Entity Name | Lewis County Community Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shayne Philip Blevins, NP-C Po Box 100, Wellpinit, WA 99040-0100 Ph: (509) 258-4517 | Mr Shayne Philip Blevins, NP-C Po Box 100, Wellpinit, WA 99040-0100 Ph: (509) 258-4517 |
Leanne M Zilar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6203 Agency Loop Rd, Wellpinit, WA 99040 Phone: 509-258-4517 Fax: 509-258-7152 | |
Tracy Lee Hesler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6203 Agency Loop Road, Wellpinit, WA 99040 Phone: 509-258-4517 Fax: 509-258-6757 | |
Mrs. Sharon Ann Moses, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6191 Wellpinit Agency Loop, Wellpinit, WA 99040 Phone: 509-258-4517 | |
Teresa Ann Martinez, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6203 Agency Square Loop, Wellpinit, WA 99040 Phone: 509-258-4517 Fax: 509-258-4456 |