Diana Scanlon, CNP | |
45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 | |
(586) 247-4300 | |
(586) 532-6496 |
Full Name | Diana Scanlon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 45640 Schoenherr Rd, Shelby Township, Michigan |
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 |
---|---|---|---|
1043651458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4704267416 (Michigan) | Secondary |
363L00000X | Nurse Practitioner | 4704267416 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Port Huron | Port huron, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Clair Specialty Physicians Pc | 6204733256 | 34 |
Entity Name | St Clair Specialty Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154361616 PECOS PAC ID: 6204733256 Enrollment ID: O20040310000808 |
Mailing Address | Practice Location Address |
---|---|
Diana Scanlon, CNP 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 Ph: (586) 247-4300 | Diana Scanlon, CNP 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 Ph: (586) 247-4300 |
Russell Miller, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315 Phone: 586-731-8400 | |
Miss Joey Fattizzo, FNP, RN, RDH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45445 Mound Round, Suite 105, Shelby Township, MI 48317 Phone: 586-200-8707 Fax: 248-282-1313 | |
Mrs. Karey Hartford, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49310 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-731-8900 Fax: 586-726-5439 | |
Tyler Mclaughlan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14270 Oakwood Dr, Shelby Township, MI 48315 Phone: 586-900-9444 | |
Kathleen Lewis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46961 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-991-5205 | |
Theola J Rivera, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8180 26 Mile Rd, Suite 100, Shelby Township, MI 48316 Phone: 586-336-7321 Fax: 586-336-7356 |