Shannon Renae Sutherland, DO | |
1103 Village Square Dr, Suite 101, Perrysburg, OH 43551-1783 | |
(419) 872-3219 | |
(419) 872-3208 |
Full Name | Shannon Renae Sutherland |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 24 Years |
Location | 1103 Village Square Dr, Perrysburg, Ohio |
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 |
---|---|---|---|
1740266501 | NPI | - | NPPES |
2604793 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | BL9255058 (Ohio) | Secondary |
207V00000X | Obstetrics & Gynecology | 34.008522 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wood County Hospital | Bowling green, OH | Hospital |
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
Promedica Toledo Hospital | Toledo, OH | Hospital |
Bay Park Community Hospital | Oregon, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wood County Womens Care Of Bowling Green, Llc | 0648260729 | 8 |
Entity Name | Wood County Womens Care Of Bowling Green, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962419978 PECOS PAC ID: 0648260729 Enrollment ID: O20040512001537 |
Entity Name | Wellcare Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558567636 PECOS PAC ID: 1456442771 Enrollment ID: O20070801000094 |
Mailing Address | Practice Location Address |
---|---|
Shannon Renae Sutherland, DO 5901 Monclova Rd, Maumee, OH 43537 Ph: (419) 872-3201 | Shannon Renae Sutherland, DO 1103 Village Square Dr, Suite 101, Perrysburg, OH 43551-1783 Ph: (419) 872-3219 |
Maria Kristine Cacciotti, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1103 Village Square Dr Ste 101, Perrysburg, OH 43551 Phone: 419-872-3207 Fax: 419-872-3237 | |
Dr. John Russell Roost, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1021 Sandusky St, Suite E, Perrysburg, OH 43551 Phone: 419-872-3207 Fax: 419-872-3237 | |
Madeleine Craig, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1620 Brigham Dr Ste 220, Perrysburg, OH 43551 Phone: 567-585-0265 Fax: 567-585-9455 | |
Lauren Kuhlman, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 28442 E River Rd Ste 110, Perrysburg, OH 43551 Phone: 419-872-3201 |