Dr Shanley Marie O'brien, MD | |
4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 | |
(231) 600-7466 | |
Not Available |
Full Name | Dr Shanley Marie O'brien |
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Gender | Female |
Speciality | Internal Medicine - Rheumatology |
Location | 4100 Park Forest Dr Ste 200, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104265933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 4301500409 (Michigan) | Primary |
207R00000X | Internal Medicine | 9408209 (Kansas) | Secondary |
Entity Name | Novello Specialty Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629716964 PECOS PAC ID: 3870961493 Enrollment ID: O20221201001361 |
Mailing Address | Practice Location Address |
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Dr Shanley Marie O'brien, MD 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 Ph: (231) 600-7466 | Dr Shanley Marie O'brien, MD 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 Ph: (231) 600-7466 |
John P Milliken, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 224 Circle Dr, Traverse City, MI 49684 Phone: 231-935-0525 Fax: 231-935-0529 | |
Dr. David R Hendricks, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 153 1/2 E Front St, Traverse City, MI 49684 Phone: 231-941-6670 Fax: 231-941-6675 | |
Dr. Jill Elizabeth Vollbrecht, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 5015 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0850 Fax: 231-935-0850 | |
Dr. Katrina Marie Lawrence-wolff, DO Rheumatology Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste A, Traverse City, MI 49684 Phone: 231-935-8330 Fax: 231-935-3437 | |
Steven M. Lamie, M. D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3537 W Front St, Suite I, Traverse City, MI 49684 Phone: 231-935-8950 Fax: 231-935-8868 | |
Anne M Hepner, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth St, Suite 200, Traverse City, MI 49684 Phone: 231-935-5800 Fax: 231-935-5799 | |
Mark V Galan, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684 Phone: 231-935-5710 Fax: 231-935-9045 |