| Shanell H Vance, NP | |
|
198 Charlton Rd, Sturbridge, MA 01566 | |
| (508) 347-9240 | |
| (508) 347-5361 |
| Full Name | Shanell H Vance |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 198 Charlton Rd, Sturbridge, Massachusetts |
| 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 |
|---|---|---|---|
| 1134545759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2289391 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN2289391 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umass Memorial Medical Group Inc | 4284539891 | 2096 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Umass Memorial Health-harrington Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790780047 PECOS PAC ID: 8123087319 Enrollment ID: O20041004001081 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanell H Vance, NP Po Box 40, Southbridge, MA 01550-0040 Ph: (508) 909-7799 | Shanell H Vance, NP 198 Charlton Rd, Sturbridge, MA 01566 Ph: (508) 347-9240 |
Jessica Locke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-7585 | |
Jackyline N Kikoyo, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Main St, Sturbridge, MA 01566 Phone: 774-240-6869 | |
Samantha Elizabeth Donlon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-7585 | |
Mrs. Martha G Charley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 Phone: 508-347-9111 | |
Peter Earle Cestodio, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-765-1600 | |
Ginny K Crosse, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-9240 |