Shannon Quinn Hagan, CRNA | |
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
(410) 701-4547 | |
(410) 701-4342 |
Full Name | Shannon Quinn Hagan |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 5401 Old Court Rd, Randallstown, Maryland |
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 |
---|---|---|---|
1295974343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R130677 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Maryland Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shock Trauma Associates Pa | 6800882317 | 230 |
Entity Name | University Of Maryland Anesthesiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720024235 PECOS PAC ID: 8022905306 Enrollment ID: O20040302000341 |
Entity Name | Shock Trauma Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976 |
Entity Name | University Of Maryland Medical System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508807355 PECOS PAC ID: 7113914771 Enrollment ID: O20040427000918 |
Entity Name | Goldberg Rosenstein Khan & Forman Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942497151 PECOS PAC ID: 5799851077 Enrollment ID: O20080910000621 |
Entity Name | Digestive Disease Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407400955 PECOS PAC ID: 1951734078 Enrollment ID: O20191204000393 |
Mailing Address | Practice Location Address |
---|---|
Shannon Quinn Hagan, CRNA 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 701-4547 | Shannon Quinn Hagan, CRNA 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 701-4547 |
Tonya M. Pease, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-496-7572 | |
Mrs. Jessica Audrey Webster Medalis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-701-4547 Fax: 410-701-4342 | |
Verna Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Sucheep Piyasirisilp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Elizabeth J Iannazzo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-496-7154 | |
Kaia Finney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 |