| Mrs Deborah Apollo Shepard, FNP-C | |
|
64 Buntings Mill Ct, Selbyville, DE 19975-3627 | |
| (952) 807-7162 | |
| Not Available |
| Full Name | Mrs Deborah Apollo Shepard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 64 Buntings Mill Ct, Selbyville, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043205628 | NPI | - | NPPES |
| 000000270627 | Medicaid | OH | |
| 613154600 | Other | WV | BLACK LUNG/FECA |
| 2275461 | Medicaid | OH | |
| 3810014055 | Medicaid | WV | |
| 1043205628 | Other | WV | MTN ST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 06263 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | LG0001083 (Delaware) | Primary |
| Entity Name | Matrix Medical Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639433063 PECOS PAC ID: 8527341262 Enrollment ID: O20170203001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deborah Apollo Shepard, FNP-C 64 Buntings Mill Ct, Selbyville, DE 19975-3627 Ph: (952) 807-7162 | Mrs Deborah Apollo Shepard, FNP-C 64 Buntings Mill Ct, Selbyville, DE 19975-3627 Ph: (952) 807-7162 |
Jillian Coleen Abbott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36450 Tidal Rd, Selbyville, DE 19975 Phone: 302-291-6045 Fax: 833-449-3867 | |
Mrs. Amanda Berkebile Wainwright, NP- C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32427 Lighthouse Rd, Selbyville, DE 19975 Phone: 443-424-6131 Fax: 302-616-0003 | |
Georgia Cassedy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36450 Tidal Rd, Selbyville, DE 19975 Phone: 302-291-6045 | |
Jenna Alexandria Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32393 Lighthouse Rd, Selbyville, DE 19975 Phone: 410-713-8099 | |
Jessica Markel Abernathy-lenowitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37314 Hidden Haven Cv, Selbyville, DE 19975 Phone: 410-459-6691 | |
Sarah Katelyn Dibuo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36450 Tidal Rd Unit 2, Selbyville, DE 19975 Phone: 302-291-6045 Fax: 833-449-3867 |