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Shelly Anne Busch

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

106 Medical Center Dr, Panama City, FL 32405-4907

PECOS Enrollment

This provider is enrolled in PECOS as SHELLY BUSCH.

Based on the most recent information from CMS, provider Shelly Anne Busch is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1427355742
Provider Type
Individual
Full Name
Busch, Shelly Anne
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/23/2011
Last Updated
2/13/2019

Contact Information

Practice Location

106 Medical Center Dr, Panama City, FL 32405-4907

(850) 769-0329

Unlisted Fax

Mailing Location

106 Medical Center Dr, Panama City, FL 32405-4907

(850) 769-0329

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9266015 Florida

Shelly Anne Busch

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wiggins, Haley

Guy, Sara Elizabeth

Binard, Robert

Brooks, Ashli A

Keely, Adrienne

Neuenfeldt, Lisa Marie

Wester, Jordan

Suarez Valderas, Arian Alejandro

Barker, Charly

Gemsch, Linda Jolene