Dr Patrick J Shannon, MD | |
1200 E Columbia Ave, Colville, WA 99114-3354 | |
(509) 684-3701 | |
(509) 684-5817 |
Full Name | Dr Patrick J Shannon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 1200 E Columbia Ave, Colville, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538157433 | NPI | - | NPPES |
8274003 | Medicaid | WA | |
50515 | Other | L & I | |
8924159 | Other | L & I CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00020210 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Assured Home Health | Spokane, WA | Home health agency |
Providence Mount Carmel Hospital | Colville, WA | Hospital |
Providence St Joseph Hospital | Chewelah, WA | Hospital |
Ferry County Memorial Hospital | Republic, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 0345139929 | 694 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick J Shannon, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Dr Patrick J Shannon, MD 1200 E Columbia Ave, Colville, WA 99114-3354 Ph: (509) 684-3701 |
Dr. Michael D Snook, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
Dr. Barry J Bacon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
Dr. Sally Hae-ryun Sartin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 982 E Columbia Ave, Colville, WA 99114 Phone: 509-684-5100 | |
Dr. Deborah A Montowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
Dr. Leslie E Waters, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
Dr. Angela M Ball, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
Kal Kelley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 358 N. Main Street, Colville, WA 99114 Phone: 509-684-1440 Fax: 509-684-2745 |