| Brooke Shannon, PA | |
|
4201 Buffalo Rd, North Chili, NY 14514-1256 | |
| (585) 594-5995 | |
| (585) 594-5425 |
| Full Name | Brooke Shannon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 4201 Buffalo Rd, North Chili, New York |
| 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 |
|---|---|---|---|
| 1740756261 | NPI | - | NPPES |
| 022854 | Other | NY | NYS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 022854 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Health Center | Platteville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Health Center Inc | 3072427772 | 76 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Shannon, PA 4201 Buffalo Rd, North Chili, NY 14514-1256 Ph: (585) 594-5995 | Brooke Shannon, PA 4201 Buffalo Rd, North Chili, NY 14514-1256 Ph: (585) 594-5995 |
Robert Patrick Lawler, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4201 Buffalo Rd, North Chili, NY 14514 Phone: 585-594-5995 Fax: 585-594-5425 | |
Timothy Clark, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Buffalo Road, North Chili, NY 14514 Phone: 585-594-5995 Fax: 585-594-5425 | |
Christine A. Rodgers, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Buffalo Rd, North Chili, NY 14514 Phone: 585-594-5995 Fax: 585-594-5425 | |
Philip Douglas Graham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Buffalo Road, Suite 1, North Chili, NY 14514 Phone: 585-594-5995 Fax: 585-594-5995 |