Shanna Michele Welgraven, DO | |
2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558-3895 | |
(912) 540-6750 | |
(912) 540-6773 |
Full Name | Shanna Michele Welgraven |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 12 Years |
Location | 2060 Dan Proctor Dr Ste 1200, Saint Marys, Georgia |
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 |
---|---|---|---|
1629333190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 66710 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cooperative Healthcare Services, Inc. | 9830093640 | 175 |
Entity Name | Cooperative Healthcare Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
Mailing Address | Practice Location Address |
---|---|
Shanna Michele Welgraven, DO Po Box 1213, Brunswick, GA 31521-1213 Ph: (303) 861-4914 | Shanna Michele Welgraven, DO 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558-3895 Ph: (912) 540-6750 |
Dr. Jonathan Andrew Egly, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558 Phone: 912-540-6750 Fax: 912-540-6773 | |
Livio Federico Pardi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 203 Lakeshore Pt, Saint Marys, GA 31558 Phone: 912-576-6465 | |
Stephen A Nickisch, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558 Phone: 912-540-6750 Fax: 912-540-6773 | |
Dr. Richard Lyle Brandon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 202 Lakeshore Dr, Suite A, Saint Marys, GA 31558 Phone: 912-673-1771 Fax: 912-673-1811 | |
Michelle Yvonne Perry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr, Suite 1800, Saint Marys, GA 31558 Phone: 912-510-7376 Fax: 912-510-7377 |