Dr John A Shannon, MD | |
1304 13th Ave Se, Decatur, AL 35601-4359 | |
(256) 355-9711 | |
(256) 351-9717 |
Full Name | Dr John A Shannon |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1304 13th Ave Se, Decatur, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437118825 | NPI | - | NPPES |
000083233 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 57091 (Alabama) | Primary |
Entity Name | Key West Hma Physician Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871548651 PECOS PAC ID: 0749178408 Enrollment ID: O20040305000837 |
Entity Name | Pediatrix Medical Group Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
Mailing Address | Practice Location Address |
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Dr John A Shannon, MD 1304 13th Ave Se, Decatur, AL 35601-4359 Ph: (256) 355-9711 | Dr John A Shannon, MD 1304 13th Ave Se, Decatur, AL 35601-4359 Ph: (256) 355-9711 |
Dr. Cara L Hoffman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1874 Beltline Rd Sw, Suite 300, Decatur, AL 35601 Phone: 256-350-9700 Fax: 256-350-9797 | |
Gerry Francis Ellis, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1304 13th Ave Se, Suite A, Decatur, AL 35601 Phone: 256-355-9216 Fax: 256-351-6327 | |
Dr. Mitchell W Schuster, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1304 13th Ave Se, Decatur, AL 35601 Phone: 256-355-9711 Fax: 256-351-9717 | |
Susan Goldby, C.R.N.P Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1304 13th Ave Se, Decatur, AL 35601 Phone: 256-355-9711 Fax: 256-351-9717 | |
Dr. Moses A Awoniyi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2046 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-353-0410 Fax: 256-353-0649 | |
Dr. G William Manifold, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1874 Beltline Rd Sw, Suite 300, Decatur, AL 35601 Phone: 256-350-9700 Fax: 256-350-9797 |