Shannon L Tennant, PT | |
88 East Memorial Drive, Pomeroy, OH 45769 | |
(740) 992-0060 | |
(740) 446-5154 |
Full Name | Shannon L Tennant |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 88 East Memorial Drive, Pomeroy, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174767677 | NPI | - | NPPES |
1174767677 | Other | MED MUTAL OF OHIO | |
000000270651 | Other | OH | OH MEDICAID UNISON |
3810014932 | Medicaid | WV | |
2970129 | Other | OH | OH MEDICAID MOLINA |
2970129 | Medicaid | OH | |
P00794068 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012394 (Ohio) | Primary |
Provider Name | Community Health Association |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649277476 PECOS PAC ID: 1759291313 Enrollment ID: O20031219000784 |
Mailing Address | Practice Location Address |
---|---|
Shannon L Tennant, PT 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 992-0060 | Shannon L Tennant, PT 88 East Memorial Drive, Pomeroy, OH 45769 Ph: (740) 992-0060 |
Janice J Bacak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36759 Rocksprings Rd, Pomeroy, OH 45769 Phone: 740-992-6606 Fax: 740-992-2678 | |
Jason L King, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 88 E Memorial Dr, Pomeroy, OH 45769 Phone: 740-992-0060 Fax: 740-446-5154 | |
Allison G Barnett, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36759 Rocksprings Rd, Pomeroy, OH 45769 Phone: 740-992-6606 Fax: 740-992-2678 | |
Alicia Arman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36759 Rocksprings Rd, Pomeroy, OH 45769 Phone: 740-992-6606 | |
Ms. Joan H. Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 88 E Memorial Dr, Pomeroy, OH 45769 Phone: 740-992-2188 Fax: 740-992-5154 | |
Brooke Vaughan, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Prospect Hl, Pomeroy, OH 45769 Phone: 740-591-0092 |