Ms Maryellen Kathryn Shannon, MD | |
6 Hughes, Ste 100, Irvine, CA 92618-2059 | |
(949) 680-1880 | |
(949) 680-1881 |
Full Name | Ms Maryellen Kathryn Shannon |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 6 Hughes, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033227483 | NPI | - | NPPES |
04886 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | AZ19717 (Arizona) | Primary |
Entity Name | South Coast Medical Center For New Medicine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891939351 PECOS PAC ID: 0345427522 Enrollment ID: O20110616000212 |
Mailing Address | Practice Location Address |
---|---|
Ms Maryellen Kathryn Shannon, MD 6 Hughes, Ste 100, Irvine, CA 92618-2059 Ph: (949) 680-1880 | Ms Maryellen Kathryn Shannon, MD 6 Hughes, Ste 100, Irvine, CA 92618-2059 Ph: (949) 680-1880 |
Dr. Tiffany Wong Dote, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6650 Alton Pkwy, Women's Health Services Attn: Maria Vasquez, Irvine, CA 92618 Phone: 714-644-2381 Fax: 949-932-6348 | |
Miss Lisa Renee Crane, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4050 Barranca Pkwy Ste 200, Irvine, CA 92604 Phone: 949-559-1911 Fax: 949-559-4071 | |
Pantea Mozayeni, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4050 Barranca Pkwy Ste 200, Irvine, CA 92604 Phone: 949-559-1911 Fax: 949-559-4071 | |
Noah Rodriguez, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6650 Alton Pkwy, Medical Office Building 2, 3rd Floor, Irvine, CA 92618 Phone: 949-932-5685 Fax: 949-932-6393 | |
Dr. James P Lin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 16300 Sand Canyon Ave, Suite 901, Irvine, CA 92618 Phone: 949-453-8600 Fax: 949-453-8601 | |
Dr. Cecilia Anne Perez, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6650 Alton Pkwy, Mob2 3rd Floor, Irvine, CA 92618 Phone: 949-932-5000 |