| Ms Shelley Luephang, PA | |
|
8515 Ooltewah Georgetown Rd, Ooltewah, TN 37363-9581 | |
| (423) 580-4092 | |
| Not Available |
| Full Name | Ms Shelley Luephang |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 8515 Ooltewah Georgetown Rd, Ooltewah, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811439979 | NPI | - | NPPES |
| 1811439979 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 54087 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinic Services Of California Medical Group Inc | 7810209715 | 65 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | San Francisco Physicians International Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841220720 PECOS PAC ID: 5597679225 Enrollment ID: O20031117000934 |
| Entity Name | Solano Gateway Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952344293 PECOS PAC ID: 5496725418 Enrollment ID: O20040916001355 |
| Entity Name | Team Physicians of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Clinic Services of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shelley Luephang, PA 8515 Ooltewah Georgetown Rd, Ooltewah, TN 37363-9581 Ph: Not Available | Ms Shelley Luephang, PA 8515 Ooltewah Georgetown Rd, Ooltewah, TN 37363-9581 Ph: (423) 580-4092 |
Ashley Rose Lynn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8206 Trout Lily Dr, Ooltewah, TN 37363 Phone: 423-475-0924 |
Jessica Bell Groft, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9463 Pasture Dr, Ooltewah, TN 37363 Phone: 423-653-8836 |
Mrs. Audrey Josey, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5038 Hunter Rd Ste 102, Ooltewah, TN 37363 Phone: 423-910-6100 Fax: 423-910-6109 |
Virginia Weir, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6059 Arbury Way, Ooltewah, TN 37363 Phone: 423-238-8880 |
Mrs. Kendyl Rogers Cranston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6053 Artesian Cir, Ooltewah, TN 37363 Phone: 800-950-0492 |
Kristie Obranovich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363 Phone: 423-206-2777 Fax: 423-206-2772 |
Ryan Volking, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7564 Passport Dr, Ooltewah, TN 37363 Phone: 662-255-9457 |