| Shannon Randa Lee, FNP | |
|
1729 Burrstone Rd, New Hartford, NY 13413-1001 | |
| (315) 798-1830 | |
| (315) 798-1831 |
| Full Name | Shannon Randa Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1729 Burrstone Rd, New Hartford, New York |
| 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 |
|---|---|---|---|
| 1083232938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 345930 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Faxton-st Luke's Healthcare | Utica, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Slocum Dickson Medical Group Pllc | 5799778510 | 106 |
| Entity Name | Slocum Dickson Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285625996 PECOS PAC ID: 5799778510 Enrollment ID: O20040407000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Randa Lee, FNP 1729 Burrstone Rd, New Hartford, NY 13413-1001 Ph: (315) 798-1830 | Shannon Randa Lee, FNP 1729 Burrstone Rd, New Hartford, NY 13413-1001 Ph: (315) 798-1830 |
Amela Thompson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1808 | |
Ms. Karen Warner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1543 Fax: 315-798-1707 | |
Linda A O'connor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3946 Oneida St, New Hartford, NY 13413 Phone: 315-624-8300 Fax: 315-624-8310 | |
Melanie Padmanabhan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1551 Fax: 315-798-1556 | |
Ms. Nicole Marchesani, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 83 Genesee St, New Hartford, NY 13413 Phone: 315-792-7629 | |
Sandra Gaetano, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4401 Middle Settlement Rd, New Hartford, NY 13413 Phone: 315-738-1835 Fax: 315-797-2419 | |
Sandra J Prevost, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1522 Fax: 315-798-1535 |