| Chm Mobile Care | |
|
713 Main St Ste A Shelbyville KY 40065-1239 | |
| (804) 877-6601 | |
| Not Available |
| Full Name | Chm Mobile Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 713 Main St Ste A, Shelbyville, Kentucky |
| Authorized Official Name and Position | Angel M Rivera (BILLING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 7574358085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chm Mobile Care Po Box 6365 Virginia Beach VA 23456-0365 Ph: (757) 435-8085 | Chm Mobile Care 713 Main St Ste A Shelbyville KY 40065-1239 Ph: (804) 877-6601 |
| NPI Number | 1568348225 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 04/21/2026 |
| Certification Date | 04/21/2026 |
| Medicare PECOS PAC ID | 8921505918 |
|---|---|
| Medicare Enrollment ID | O20251007002299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568348225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Mindy E Sydnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841299260 PECOS PAC ID: 9234199464 Enrollment ID: I20041013000153 |
| Provider Name | Tameron C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912234535 PECOS PAC ID: 4981885100 Enrollment ID: I20110222000409 |
| Provider Name | John Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861631947 PECOS PAC ID: 8527113695 Enrollment ID: I20140728001577 |
| Provider Name | Rebecca Ann Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376941534 PECOS PAC ID: 6800112459 Enrollment ID: I20150226001019 |
| Provider Name | Leighnia T Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881066124 PECOS PAC ID: 9335441963 Enrollment ID: I20160113001562 |
| Provider Name | Stephanie Jo Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558992792 PECOS PAC ID: 4880015668 Enrollment ID: I20200603000900 |
| Provider Name | Lilian P.N. Namayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285122184 PECOS PAC ID: 4183043722 Enrollment ID: I20200930002457 |
| Provider Name | Hazel Joy C Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295358927 PECOS PAC ID: 0648669697 Enrollment ID: I20211111002734 |
| Provider Name | Marsha Ann Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067183 PECOS PAC ID: 5890120554 Enrollment ID: I20221227000292 |
| Provider Name | La Reshia Okubena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841054467 PECOS PAC ID: 1456793025 Enrollment ID: I20240528003097 |
| Provider Name | Megan Gorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235588542 PECOS PAC ID: 1850684523 Enrollment ID: I20241021002309 |
| Provider Name | Melissa Michelle Elzey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487471579 PECOS PAC ID: 6800386244 Enrollment ID: I20251105001846 |
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Womens Care of the Blugrass-shelbyville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 11th St, Shelbyville, KY 40065 Phone: 270-692-2774 Fax: 270-692-3559 |
Shelbyville Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Stonecrest Rd, Shelbyville, KY 40065 Phone: 502-633-2233 Fax: 502-633-3833 |
Operation Care Mercy Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Washington St, Shelbyville, KY 40065 Phone: 502-647-4668 Fax: 502-647-4668 |
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