Shannon Miri Mulder Michaelson, MD | |
11234 Anderson St, Rm 2532, Loma Linda, CA 92354-2804 | |
(909) 558-4475 | |
Not Available |
Full Name | Shannon Miri Mulder Michaelson |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 41 Years |
Location | 11234 Anderson St, Loma Linda, California |
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 |
---|---|---|---|
1467515536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G53813 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loma Linda University Medical Center | Loma linda, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1065 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
---|---|
Shannon Miri Mulder Michaelson, MD 25539 Huron St, Loma Linda, CA 92354-3722 Ph: (909) 796-4996 | Shannon Miri Mulder Michaelson, MD 11234 Anderson St, Rm 2532, Loma Linda, CA 92354-2804 Ph: (909) 558-4475 |
Elyse Lauren Guran, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4015 | |
Samuel Cook Chambi, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4015 | |
Marina Liu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 | |
Vu Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Dr. Michele Denise Vandenhoven, MD. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St., Loma Linda, CA 92354 Phone: 909-558-8054 Fax: 909-558-0187 | |
Thomas P. Engel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St Rm 2532, Loma Linda, CA 92354 Phone: 909-558-4475 Fax: 916-734-2975 | |
Dr. Martin Minh Le, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 |