Shannon Lynn Gideon, FNP-C | |
4301 Wilson St, Fort Sill, OK 73503-4472 | |
(580) 558-8453 | |
Not Available |
Full Name | Shannon Lynn Gideon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 4301 Wilson St, Fort Sill, Oklahoma |
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 |
---|---|---|---|
1457708257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 740850 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | M0132275 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwestern Surgical Affiliates, Llc | 0941365308 | 24 |
Entity Name | Southwestern Surgical Affiliates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013169531 PECOS PAC ID: 0941365308 Enrollment ID: O20090218000457 |
Entity Name | Williams Medical Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Mailing Address | Practice Location Address |
---|---|
Shannon Lynn Gideon, FNP-C 4301 Wilson St, Fort Sill, OK 73503-4472 Ph: (580) 558-8453 | Shannon Lynn Gideon, FNP-C 4301 Wilson St, Fort Sill, OK 73503-4472 Ph: (580) 558-8453 |
Brenda K Swain, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 Wilson St, Ent Clinic, Fort Sill, OK 73503 Phone: 580-558-2453 Fax: 580-558-2427 | |
Modupe Adesola, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-8242 | |
Mr. Christopher Morgan Lowe, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Wilson St., Hrc, Fort Sill, OK 73503 Phone: 580-558-8466 | |
Wendolyn Renee Mccall, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-2772 | |
Julia Lewis, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4303 Pitman St # 4303, Fort Sill, OK 73503 Phone: 580-585-5600 | |
Kathleen Jean Shepard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-2500 |