| Dr Tamara S Shields, CFNP | |
|
512 Sagamore Pkwy W, West Lafayette, IN 47906-1458 | |
| (317) 873-6438 | |
| Not Available |
| Full Name | Dr Tamara S Shields |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 512 Sagamore Pkwy W, West Lafayette, Indiana |
| 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 |
|---|---|---|---|
| 1568422970 | NPI | - | NPPES |
| 200383320 | Medicaid | IN |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostics Of Indiana Llc | 3072548502 | 97 |
| Minuteclinic Diagnostic Of Michigan Pc | 9133123755 | 40 |
| Minuteclinic Diagnostic Of Louisiana, L.l.c. | 7618106477 | 6 |
| Mc Medical Group Of Nevada, P.c | 1557454410 | 29 |
| Minuteclinic Telehealth Services Of Texas Association | 8921437427 | 42 |
| Entity Name | Minuteclinic Diagnostics Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tamara S Shields, CFNP 10899 S State Road 43, Brookston, IN 47923-8403 Ph: (866) 387-2727 | Dr Tamara S Shields, CFNP 512 Sagamore Pkwy W, West Lafayette, IN 47906-1458 Ph: (317) 873-6438 |
Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227 | |
Gayle Doll, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551 | |
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 | |
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040 | |
Leslie D Lester, MWNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 |