| 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 |