Wendy Lorraine Shannon, FNP-C | |
8300 E 96th St, Fishers, IN 46037-9795 | |
(317) 621-1290 | |
(317) 621-1291 |
Full Name | Wendy Lorraine Shannon |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 8300 E 96th St, Fishers, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497868186 | NPI | - | NPPES |
200190000 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71000333A (Indiana) | Primary |
Entity Name | Community Physicians Of Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Entity Name | His Solutions Specialty Care Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558871681 PECOS PAC ID: 7113250952 Enrollment ID: O20190610001542 |
Mailing Address | Practice Location Address |
---|---|
Wendy Lorraine Shannon, FNP-C 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | Wendy Lorraine Shannon, FNP-C 8300 E 96th St, Fishers, IN 46037-9795 Ph: (317) 621-1290 |
Mrs. Amanda Rebecca Lucke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11501 Cumberland Rd Ste 500, Fishers, IN 46037 Phone: 317-863-9300 Fax: 317-863-9333 | |
Heather Hosfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13121 Olio Rd, #100, Fishers, IN 46037 Phone: 317-621-4044 Fax: 317-621-4050 | |
Deborah L Schutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St, Suite 300, Fishers, IN 46038 Phone: 317-621-1500 Fax: 317-621-1509 | |
Courtney Joy Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9795 E 116th St, Fishers, IN 46037 Phone: 317-913-8100 | |
Nieasha Lanise Richardson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9894 E 121st St, Fishers, IN 46037 Phone: 317-621-2273 Fax: 317-806-1653 | |
Melissa Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10546 Greenway Dr, Fishers, IN 46037 Phone: 317-437-7453 | |
Sarah Jayroe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8890 E 116th St Ste 130, Fishers, IN 46038 Phone: 317-621-7030 |