Mrs Shannan Lee Carmouche, PA is a medicare enrolled "Physician Assistant" physician in Oklahoma City, Oklahoma. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Optimal Health Associates Llc, The Physicians Group, Llc and her current practice location is
9800 Broadway Extension, Suite 203, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 419-5412.
Mrs Shannan Lee Carmouche is licensed to practice in Oklahoma (license number 1162) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770560161.
Physician's Profile
| Full Name | Mrs Shannan Lee Carmouche |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 9800 Broadway Extension, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Shannan Lee Carmouche graduated from medical school in 2001
NPI Data:
- NPI Number: 1770560161
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 02/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 7315833464
- Enrollment ID: I20040225000569
Medical Identifiers
Medical identifiers for Mrs Shannan Lee Carmouche such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770560161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 1162 (Oklahoma) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 1162 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 1162 (Oklahoma) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1162 (Oklahoma) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Optimal Health Associates Llc | 0446602536 | 8 |
| The Physicians Group, Llc | 8325950603 | 105 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannan Lee Carmouche is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Shannan Lee Carmouche, PA
9800 Broadway Extension, Suite 203,
Oklahoma City, OK 73114
Ph: (405) 419-5412 | Mrs Shannan Lee Carmouche, PA
9800 Broadway Extension, Suite 203,
Oklahoma City, OK 73114
Ph: (405) 419-5412 |
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