| Shaelah Ellen Lewis, FNP-C | |
|
29632 Highway 299 East, Round Mountain, CA 96084 | |
| (530) 337-5762 | |
| Not Available |
| Full Name | Shaelah Ellen Lewis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 29632 Highway 299 East, Round Mountain, California |
| 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 |
|---|---|---|---|
| 1710654660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95018055 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Howard Memorial | Willits, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Long Valley Health Center | 8628965852 | 9 |
| Entity Name | Long Valley Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366467375 PECOS PAC ID: 8628965852 Enrollment ID: O20040302001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaelah Ellen Lewis, FNP-C 5311 70th St, Sacramento, CA 95820-5903 Ph: (805) 235-8744 | Shaelah Ellen Lewis, FNP-C 29632 Highway 299 East, Round Mountain, CA 96084 Ph: (530) 337-5762 |
Mrs. Happy Star Shaw, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29632 Hwy 299 E, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655 | |
Mr. Asa Mark Calkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655 | |
Ms. Darra A. Husome, FNP, CNS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 |