| Shanna Lee Dew, NP | |
| 
					1370 N State Route 377 Nw, Malta, OH 43758-9786  | |
| (740) 607-3625 | |
| Not Available | 
| Full Name | Shanna Lee Dew | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1370 N State Route 377 Nw, Malta, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215370580 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN375151 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.023718 (Ohio) | Primary | 
| Entity Name | Palliative Care Support Solutions, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154941417 PECOS PAC ID: 2769807122 Enrollment ID: O20200731001558  | 
| Entity Name | Signify Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shanna Lee Dew, NP 1370 N State Route 377 Nw, Malta, OH 43758-9786 Ph: (740) 607-3625  | Shanna Lee Dew, NP 1370 N State Route 377 Nw, Malta, OH 43758-9786 Ph: (740) 607-3625  | 
Heather Marie Gillespie, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-962-6111 Fax: 740-962-2182  | |
Macey Dodd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-891-9000  | |
Kayla Renee Hanson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-962-6111  |