| Ms Shannon Dre Chisholm, PA-C | |
|
3706 N Roosevelt Blvd, Suite D, Key West, FL 33040-4566 | |
| (305) 517-6613 | |
| (305) 517-6614 |
| Full Name | Ms Shannon Dre Chisholm |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 3706 N Roosevelt Blvd, Key West, Florida |
| 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 |
|---|---|---|---|
| 1700824638 | NPI | - | NPPES |
| 216178801 | Medicaid | TX | |
| P00800517 | Other | TX | RAILROAD MEDICARE |
| P01064726 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA02625 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA9107966 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Halifax Healthcare Systems Inc | 1254238090 | 278 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shannon Dre Chisholm, PA-C 3706 N Roosevelt Blvd, Suite D, Key West, FL 33040-4566 Ph: (305) 517-6613 | Ms Shannon Dre Chisholm, PA-C 3706 N Roosevelt Blvd, Suite D, Key West, FL 33040-4566 Ph: (305) 517-6613 |
Darlene Fischer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2506 N Roosevelt Blvd Ste 103, Key West, FL 33040 Phone: 305-973-5582 | |
Cindy W Logue, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2100 Flagler Ave, Key West, FL 33040 Phone: 305-293-1549 | |
Mrs. Marilee M Meeler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 12th St Ste 103, Key West, FL 33040 Phone: 305-295-3535 Fax: 305-294-6868 | |
Jennifer Marie Whaley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5900 College Rd, Key West, FL 33040 Phone: 305-294-5531 | |
Robert Kane, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1111 12th St Ste 201, Key West, FL 33040 Phone: 305-295-3477 | |
Mr. Arthur Tharpe Powell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3401 Northside Dr, Key West, FL 33040 Phone: 305-295-3331 Fax: 305-295-3387 | |
Douglas Harold Doughty, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 Douglas Cir, Key West, FL 33040 Phone: 305-293-4600 |