Shannon Dass, CRNP | |
1431 Nursery St, Fogelsville, PA 18051-1612 | |
(484) 273-4343 | |
Not Available |
Full Name | Shannon Dass |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1431 Nursery St, Fogelsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588362818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP026851 (Pennsylvania) | Primary |
Entity Name | Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Schuylkill Health System Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
Mailing Address | Practice Location Address |
---|---|
Shannon Dass, CRNP 2100 Mack Blvd Fl 2, Allentown, PA 18103-5622 Ph: (848) 844-5004 | Shannon Dass, CRNP 1431 Nursery St, Fogelsville, PA 18051-1612 Ph: (484) 273-4343 |
Patricia Likem Amedzekor, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1431 Nursery St Ste 102, Fogelsville, PA 18051 Phone: 610-336-8277 | |
Beth A Turoscy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1431 Nursery St, Fogelsville, PA 18051 Phone: 610-402-8000 | |
Nicole M Tierney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1431 Nursery St # 102, Fogelsville, PA 18051 Phone: 610-336-8277 Fax: 610-821-1358 | |
Jennifer Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1431 Nursery St, Fogelsville, PA 18051 Phone: 610-336-8277 | |
Laura Cinelli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1431 Nursery St Ste 101b, Fogelsville, PA 18051 Phone: 610-336-8260 Fax: 610-336-8269 | |
Emily Christine Kopp, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1251 Turnstone Dr Ste 120, Fogelsville, PA 18051 Phone: 484-822-5150 |