Mr Grant Shannon, NP | |
206 Cornelia St, Suite 105, Plattsburgh, NY 12901-2878 | |
(518) 561-5516 | |
Not Available |
Full Name | Mr Grant Shannon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 206 Cornelia St, Plattsburgh, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881139863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F308051-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Champlain Valley Physicians Hospital Medical Center | 2769396878 | 239 |
Entity Name | Champlain Valley Physicians Hospital Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
Entity Name | Alice Hyde Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114954682 PECOS PAC ID: 4082525837 Enrollment ID: O20031126000357 |
Entity Name | Elizabethtown Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20040521000534 |
Mailing Address | Practice Location Address |
---|---|
Mr Grant Shannon, NP 206 Cornelia St, Suite 105, Plattsburgh, NY 12901-2878 Ph: (518) 561-5516 | Mr Grant Shannon, NP 206 Cornelia St, Suite 105, Plattsburgh, NY 12901-2878 Ph: (518) 561-5516 |
Alyssa Lynn Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 | |
Rebecca Carter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Cornelia St Ste 104, Plattsburgh, NY 12901 Phone: 518-562-7557 Fax: 518-562-7559 | |
Mrs. Mary Anne Carter, C.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901 Phone: 518-563-3260 Fax: 518-561-2877 | |
Joshua Michael Korb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Prospect Ave, Plattsburgh, NY 12901 Phone: 518-563-5440 | |
Sarah Beth Wood, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Broad St, Plattsburgh, NY 12901 Phone: 518-825-1555 | |
Suzanne Laborde, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 87 Plaza Blvd, Plattsburgh, NY 12901 Phone: 518-536-7060 Fax: 518-536-7075 | |
Abbey Turner, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-562-7790 |