Lisa Shannon, DO | |
5225 Manatee Ave W, Bradenton, FL 34209-3742 | |
(941) 708-8081 | |
(941) 708-8085 |
Full Name | Lisa Shannon |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 13 Years |
Location | 5225 Manatee Ave W, Bradenton, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548514615 | NPI | - | NPPES |
011944000 | Medicaid | FL | |
HU312Z | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 402902 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayada Home Health Care Inc | Sun city center, FL | Home health agency |
Manatee Memorial Hospital | Bradenton, FL | Hospital |
Sarasota Memorial Hospital | Sarasota, FL | Hospital |
Entity Name | Lisa Shannon Do Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639718836 PECOS PAC ID: 4880020528 Enrollment ID: O20200129000189 |
Mailing Address | Practice Location Address |
---|---|
Lisa Shannon, DO 367 S. Gulph Rd, Att Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (775) 356-9393 | Lisa Shannon, DO 5225 Manatee Ave W, Bradenton, FL 34209-3742 Ph: (941) 708-8081 |
Anthony J Montanaro, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1533 4th Ave W, Bradenton, FL 34205 Phone: 941-527-0259 Fax: 941-527-0263 | |
Svetlana Kovtunova, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-845-4963 | |
Dr. Tiffany Solorzano Hubman, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-745-7286 | |
Dr. Robert E Blackwood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7005 Cortez Rd W, Bradenton, FL 34210 Phone: 941-792-2122 Fax: 941-798-2019 | |
Marcella P Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5534 Cortez Rd W, Bradenton, FL 34210 Phone: 941-757-2100 Fax: 941-757-2101 | |
Kelly Duggin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd, Suite 210, Bradenton, FL 34202 Phone: 941-782-2800 Fax: 941-782-2513 | |
Dr. Michael Andrew Howell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Manatee Ave W, Bradenton, FL 34205 Phone: 941-896-8676 Fax: 941-896-8681 |