Shannon Baker, FNP | |
2375 S Melrose Dr, Vista, CA 92081-8788 | |
(760) 306-1900 | |
Not Available |
Full Name | Shannon Baker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 2375 S Melrose Dr, Vista, California |
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 |
---|---|---|---|
1518191014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95016279 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John H Clancy Do And Tara Leigh Clancy Do Medical Corporation | 0547485419 | 3 |
Entity Name | John H Clancy Do And Tara Leigh Clancy Do Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053722124 PECOS PAC ID: 0547485419 Enrollment ID: O20140709000697 |
Mailing Address | Practice Location Address |
---|---|
Shannon Baker, FNP 2375 S Melrose Dr, Vista, CA 92081-8788 Ph: (760) 305-1900 | Shannon Baker, FNP 2375 S Melrose Dr, Vista, CA 92081-8788 Ph: (760) 306-1900 |
Patricia R Holland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 | |
Miss Lorrie Lee York, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1237 Green Oak Rd, Vista, CA 92081 Phone: 760-598-2803 Fax: 760-598-5347 | |
Ingrid Dekkers-o'hare, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Pamela N Kingery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-407-1220 | |
Gee Yeoun Dugan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Judy Puryear, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, #250, Vista, CA 92083 Phone: 760-724-7171 Fax: 760-941-3986 | |
Rana Safiedine, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 S Melrose Dr, Vista, CA 92081 Phone: 760-291-6700 |