Shelly Dueber (NPI# 1982786968, PAC ID# 2163492331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982786968 |
| PAC ID by PECOS | 2163492331 |
| Professional Enrollment ID | I20110209000306 |
| Full Name | Shelly Dueber |
| Address |
801 N Montesano St Westport WA 98595-9726 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500031 | GRAYS HARBOR COMMUNITY HOSPITAL |
| 501303 | WILLAPA HARBOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 N Montesano St, Westport, WA 98595-9726 |
| Street Address |
801 N MONTESANO ST |
| City | WESTPORT |
| State | WA |
| Zip | 98595-9726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne K Bedford | Optometry | 723 N Montesano St, Westport, WA 98595-9730 |
| City | WESTPORT |
| Zip Code | 98595 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WESTPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shelly Dueber.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.