Shannon Wiles, APRN | |
2084 Main St, Willisburg, KY 40078-8199 | |
(859) 375-9200 | |
Not Available |
Full Name | Shannon Wiles |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2084 Main St, Willisburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982145975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3011177 (Kentucky) | Primary |
Entity Name | Ephraim Mcdowell Regional Medical Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316141351 PECOS PAC ID: 3375506447 Enrollment ID: O20041109001051 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679522346 PECOS PAC ID: 5698688141 Enrollment ID: O20061012000513 |
Entity Name | Isaiah House Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396086559 PECOS PAC ID: 7113262163 Enrollment ID: O20181219000602 |
Mailing Address | Practice Location Address |
---|---|
Shannon Wiles, APRN 2084 Main St, Willisburg, KY 40078-8199 Ph: (859) 375-9200 | Shannon Wiles, APRN 2084 Main St, Willisburg, KY 40078-8199 Ph: (859) 375-9200 |
Cassie Music, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2084 Main St, Willisburg, KY 40078 Phone: 859-375-9200 Fax: 859-375-9202 | |
Calli Morgan Cox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5658 Highway 433, Willisburg, KY 40078 Phone: 844-435-0900 Fax: 270-858-4029 |