Shannon Mallory Keegan, FNP | |
519 N Dixie Fwy, New Smyrna Beach, FL 32168-6707 | |
(407) 299-7333 | |
Not Available |
Full Name | Shannon Mallory Keegan |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 519 N Dixie Fwy, New Smyrna Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427719657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11016157 (Florida) | Primary |
Entity Name | Mid-florida Dermatology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619018561 PECOS PAC ID: 1254233786 Enrollment ID: O20051018000717 |
Mailing Address | Practice Location Address |
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Shannon Mallory Keegan, FNP 815 Cheney Hwy, Titusville, FL 32780-6960 Ph: (321) 567-4237 | Shannon Mallory Keegan, FNP 519 N Dixie Fwy, New Smyrna Beach, FL 32168-6707 Ph: (407) 299-7333 |
Debra Dowell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 912 N Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-663-3003 Fax: 386-663-3007 | |
Anthony Lagana, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 N Causeway, Suite A, New Smyrna Beach, FL 32169 Phone: 386-424-1584 | |
Lisa F Macdowell, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 265 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-423-9161 Fax: 386-423-3094 | |
Ashley Nicole Pantuso, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-424-5000 | |
Dr. Jennifer Lee Williams, DNP, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 845 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-425-2550 | |
Mrs. Jessica Tapp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-423-0505 | |
Mrs. Andrea Lee Grabowski, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1129 N Dixie Freeway, New Smyrna Beach, FL 32168 Phone: 386-281-0939 |