Lori A Shellenback (NPI# 1801179874, PAC ID# 2264604115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801179874 |
| PAC ID by PECOS | 2264604115 |
| Professional Enrollment ID | I20111019000057 |
| Full Name | Lori A Shellenback |
| Organization Legal Name | MILLENIUM MEDICAL MANAGEMENT LLC |
| Address |
836 Century Medical Dr Titusville FL 32796-2141 |
| Phone Number | 3213838092 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577656339 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100315 | VIERA HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 7955 Spyglass Hill Rd A, Melbourne, FL 32940-8135 | 3212556670 | MILLENIUM MEDICAL MANAGEMENT LLC |
| 836 Century Medical Dr, Titusville, FL 32796-2141 | 3213838092 | MILLENIUM MEDICAL MANAGEMENT LLC |
| Organization Legal Name | MILLENIUM MEDICAL MANAGEMENT LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Bowers | Anesthesiology | Millenium Medical Management LLC | 7955 Spyglass Hill Rd B, Melbourne, FL 32940-8249 |
| Bharat C Patel | Interventional Pain Management | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Philip Michael Demola | Physical Medicine and Rehabilitation | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Augusto Jorge Cianciabella | Physician Assistant | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Yusef Ahmed Sayeed | Preventative Medicine | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Street Address |
836 CENTURY MEDICAL DR |
| City | TITUSVILLE |
| State | FL |
| Zip | 32796-2141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharat C Patel | Interventional Pain Management | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Philip Michael Demola | Physical Medicine and Rehabilitation | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Augusto Jorge Cianciabella | Physician Assistant | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Yusef Ahmed Sayeed | Preventative Medicine | Millenium Medical Management LLC | 836 Century Medical Dr, Titusville, FL 32796-2141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Slone | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Eric A Moore | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Mayra A Abelleira Martinez | Psychiatry | 2355 Truman Scarborough Way, Attn Cfo, Titusville, FL 32796-1310 | |
| Ismael A Beloso | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Charles Ikegwuonu | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Laura Kn Powell | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Debra Kay Allen | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Aluino L Ochoa | Internal Medicine | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Cheryl M Gardner | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Kimberly E Lundquist | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Find all physicians in zip 32796 | |||
| City | TITUSVILLE |
| Zip Code | 32796 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TITUSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori A Shellenback.
| 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.