Shannon Marie Seckel, DO | |
420 N 2nd Ave Ste 100, Sandpoint, ID 83864-1552 | |
(208) 265-2242 | |
Not Available |
Full Name | Shannon Marie Seckel |
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Gender | Female |
Speciality | Pediatrics |
Location | 420 N 2nd Ave Ste 100, Sandpoint, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316468002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0-1385 (Idaho) | Primary |
Entity Name | Boundary Regional Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195 |
Mailing Address | Practice Location Address |
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Shannon Marie Seckel, DO 420 N 2nd Ave Ste 102, Sandpoint, ID 83864-1552 Ph: (208) 265-2242 | Shannon Marie Seckel, DO 420 N 2nd Ave Ste 100, Sandpoint, ID 83864-1552 Ph: (208) 265-2242 |
Dr. Andrew Benjamin Vizcarra, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-263-7101 | |
Mrs. Katherine Magee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 North 2nd Ave, Ste 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Dr. John M Seaman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 N 2nd Ave, Sandpoint Pediatrics - Kaniksu Health Services, Sandpoint, ID 83864 Phone: 208-265-2242 | |
Harry Ralph Vanderwal Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 |