Shannon Suzanne Dillon, MD | |
703 Misty Ridge Cir, Folsom, CA 95630-6245 | |
(916) 984-0544 | |
Not Available |
Full Name | Shannon Suzanne Dillon |
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Gender | Female |
Speciality | Pediatrics |
Location | 703 Misty Ridge Cir, Folsom, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770796955 | NPI | - | NPPES |
300052110 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A100107 (California) | Secondary |
208000000X | Pediatrics | 01085591A (Indiana) | Primary |
Entity Name | University Family Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Shannon Suzanne Dillon, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Shannon Suzanne Dillon, MD 703 Misty Ridge Cir, Folsom, CA 95630-6245 Ph: (916) 984-0544 |
Karen D. Camfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000 | |
Lenore Reeva Cs Youssefi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E. Bidwell Street, Suite 250, Folsom, CA 95630 Phone: 916-817-3700 Fax: 916-817-3721 | |
Sally J. Cullen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000 | |
Shiwaji Dattatray Pawar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5438 Fax: 916-817-5415 | |
Mitra Choudri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000 | |
Dee Jay Nery Miranda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5463 | |
Dr. Randall Claud Hepworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 River Rock Dr, Ste 114, Folsom, CA 95630 Phone: 916-989-2086 Fax: 916-989-0367 |