| Shannon Marie Packard, FNP | |
|
20751 W Market St, Buckeye, AZ 85396-7893 | |
| (623) 463-5000 | |
| Not Available |
| Full Name | Shannon Marie Packard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 20751 W Market St, Buckeye, Arizona |
| 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 |
|---|---|---|---|
| 1043827769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 346186 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 290107 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Primary Care Physicians Arizona Llc | 6406020155 | 209 |
| Entity Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Packard, FNP 20751 W Market St, Buckeye, AZ 85396-7893 Ph: (623) 463-5000 | Shannon Marie Packard, FNP 20751 W Market St, Buckeye, AZ 85396-7893 Ph: (623) 463-5000 |
Carmela Marfori Fernandez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 S Watson Rd Ste 200, Buckeye, AZ 85326 Phone: 623-385-7900 | |
Ruth Bailey, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23839 W Chipman Rd, Buckeye, AZ 85326 Phone: 602-565-8806 | |
Allison Stuart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20460 W Legend Trl, Buckeye, AZ 85396 Phone: 928-504-4700 | |
Dr. Susan Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26700 S Us Highway 85, Buckeye, AZ 85326 Phone: 623-386-6160 | |
Yvette Ako Lindley, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 S Watson Rd # A114-506, Buckeye, AZ 85326 Phone: 470-554-6191 | |
Maria Lourdes Arndt, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26721 W Mohawk Ln, Buckeye, AZ 85396 Phone: 928-533-9698 |