| Shaylah Miller, RN | |
|
100 South St, Southbridge, MA 01550-4051 | |
| (508) 764-2620 | |
| Not Available |
| Full Name | Shaylah Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 100 South St, Southbridge, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356076228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2324295 (Massachusetts) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | RN2324295 (Massachusetts) | Primary |
| Entity Name | Focused Primary Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912626615 PECOS PAC ID: 4880067610 Enrollment ID: O20230227001383 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaylah Miller, RN 100 South St Ste G08, Southbridge, MA 01550-4051 Ph: (508) 764-2620 | Shaylah Miller, RN 100 South St, Southbridge, MA 01550-4051 Ph: (508) 764-2620 |
Mr. Chukwuemeka Peter Asiegbu, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167 Fax: 508-764-2462 | |
Paulette Remijan, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Comprecare, Southbridge, MA 01550 Phone: 508-765-3093 Fax: 508-765-3047 | |
Cindy Porter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 South Street, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-909-7735 | |
George M Gachuma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167 | |
Courtney Lynn Cowell, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Sayles St, Southbridge, MA 01550 Phone: 508-764-2400 Fax: 508-909-7770 | |
Agata Marta Menard, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167 | |
Allison Doreen Read, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 South Street, Southbridge, MA 01550 Phone: 508-765-9771 |