| Shane Samuel, | |
|
10512 E Nichols Ave., Mesa, AZ 85209 | |
| (951) 217-9678 | |
| Not Available |
| Full Name | Shane Samuel |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 10512 E Nichols Ave., Mesa, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558112565 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peak Mental Health Llc | 0840669800 | 9 |
| Peak Mental Health Llc | 0840669800 | 9 |
| Entity Name | Peak Mental Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912626193 PECOS PAC ID: 0840669800 Enrollment ID: O20240903001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Samuel, 10512 E Nichols Ave., Mesa, AZ 85209 Ph: (951) 217-9678 | Shane Samuel, 10512 E Nichols Ave., Mesa, AZ 85209 Ph: (951) 217-9678 |
Aida E Amado, MS, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10163 E Jacob Ave, Mesa, AZ 85209 Phone: 480-296-8849 |
Marilyn Rose Schatz, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206 Phone: 480-835-7111 Fax: 480-969-9345 |
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1140 E Greenway St Ste 1, Mesa, AZ 85203 Phone: 480-296-4742 Fax: 480-805-2184 |
Mrs. Krista Ann Roppelt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3155 E Southern Ave Ste 203, Mesa, AZ 85204 Phone: 480-325-8173 Fax: 480-325-8179 |
Alisha Kristine Holben, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 S Bellview, Mesa, AZ 85204 Phone: 276-623-7851 |
Mari Michelle Hooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 646 S Sabrina, Mesa, AZ 85208 Phone: 480-628-8370 |
Erica Thorne, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 612 W Baseline Rd, Mesa, AZ 85210 Phone: 480-834-9039 Fax: 480-964-7802 |