| Shayna Dawn Piedimonte, MSN, RN, FNP | |
|
709 E Pine, Archie, MO 64725 | |
| (816) 430-5777 | |
| (816) 430-5219 |
| Full Name | Shayna Dawn Piedimonte |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 709 E Pine, Archie, Missouri |
| 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 |
|---|---|---|---|
| 1457575102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2000163224 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Inland Hospital | Waterville, ME | Hospital |
| Mayo Regional Hospital | Dover foxcroft, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maine Medical Consultants Pc | 7810229259 | 24 |
| Entity Name | Central Maine Clinical Associates Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356676688 PECOS PAC ID: 1850321811 Enrollment ID: O20050818000910 |
| Entity Name | Maine Medical Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619519873 PECOS PAC ID: 7810229259 Enrollment ID: O20191104002506 |
| Entity Name | Mrh Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558319103 PECOS PAC ID: 1355770892 Enrollment ID: O20200803002384 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayna Dawn Piedimonte, MSN, RN, FNP Po Box 46, Archie, MO 64725-0046 Ph: (816) 430-5777 | Shayna Dawn Piedimonte, MSN, RN, FNP 709 E Pine, Archie, MO 64725 Ph: (816) 430-5777 |
Tara Goosey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 E Pine Street, Archie, MO 64725 Phone: 816-430-5777 Fax: 816-430-5219 |