| Tiffany Dawn Shadle, FNP-C | |
|
3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | |
| (806) 665-0801 | |
| (806) 665-8503 |
| Full Name | Tiffany Dawn Shadle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 3023 Perryton Pkwy, Pampa, Texas |
| 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 |
|---|---|---|---|
| 1750560298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 667580 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aleracare Of New Mexico Inc | 0042625550 | 4 |
| Aleracare Aic Llc | 8325419005 | 23 |
| Entity Name | Kingston Care Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609185180 PECOS PAC ID: 1850589102 Enrollment ID: O20110707000130 |
| Entity Name | Aleracare Of New Mexico Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699365965 PECOS PAC ID: 0042625550 Enrollment ID: O20210216000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Dawn Shadle, FNP-C 3023 Perryton Pkwy Ste 101, Pampa, TX 79065-2817 Ph: (806) 665-0801 | Tiffany Dawn Shadle, FNP-C 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 Ph: (806) 665-0801 |
Tanaka Ruzvidzo, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3023 Perryton Pkwy, Pampa, TX 79065 Phone: 806-665-0801 Fax: 806-665-8503 | |
Brenda S Mccullough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3023 Perryton Pkwy, Pampa, TX 79065 Phone: 806-665-0801 Fax: 806-665-8503 | |
Mrs. Kristi Harden, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3023 Perryton Pkwy, Pampa, TX 79065 Phone: 806-665-0801 Fax: 806-665-8503 | |
Sherri Lynn Chaney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 W Kentucky Ave Ste 3, Pampa, TX 79065 Phone: 806-560-0272 Fax: 806-419-5042 | |
Karla Fernandez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3023 Perryton Pkwy, Pampa, TX 79065 Phone: 806-665-0801 Fax: 806-665-8503 | |
Lashonda Whittington, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3023 Perryton Pkwy Ste 101, Pampa, TX 79065 Phone: 806-665-0801 | |
Ramie Nichole Malone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3023 Perryton Pkwy, Pampa, TX 79065 Phone: 806-665-0801 Fax: 806-665-8503 |