Shannon Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Ozona, Texas. The current practice location for Shannon Clinic is 102 North Avenue H, Ozona, Texas. For appointments, you can reach them via phone at
(325) 392-3788. The mailing address for Shannon Clinic is Po Box 22000, San Angelo, Texas and phone number is (325) 658-1511.
Shannon Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1245230465. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(325) 392-3788.
Primary Care Clinic Profile
| Full Name | Shannon Clinic |
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| Speciality | Clinic/Center |
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| Location | 102 North Avenue H, Ozona, Texas |
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| Authorized Official Name and Position | Ricardo Villarreal (CAO) |
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| Authorized Official Contact | 3254818248 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Shannon Clinic
Po Box 22000
San Angelo
TX 76902-7200
Ph: (325) 658-1511 | Shannon Clinic
102 North Avenue H
Ozona
TX 76943-0907
Ph: (325) 392-3788 |
NPI Details:
| NPI Number | 1245230465 |
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| Provider Enumeration Date | 07/29/2005 |
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| Last Update Date | 02/27/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0840103727 |
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| Medicare Enrollment ID | O20091124000208 |
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Medical Identifiers
Medical identifiers for Shannon Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245230465 | NPI | - | NPPES |
| 149090601 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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