| Mary Shannon Sumner, | |
|
820 Memorial St Ste 1, Prosser, WA 99350-2504 | |
| (509) 786-2010 | |
| (509) 788-1794 |
| Full Name | Mary Shannon Sumner |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 820 Memorial St Ste 1, Prosser, Washington |
| 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 |
|---|---|---|---|
| 1538553300 | NPI | - | NPPES |
| 1020986 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LH60802996 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Port Gamble S'klallam Tribe | 6204737927 | 11 |
| Entity Name | Port Gamble S'klallam Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760428650 PECOS PAC ID: 6204737927 Enrollment ID: O20040115001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Shannon Sumner, 820 Memorial St Ste 1, Prosser, WA 99350-2504 Ph: (509) 786-2010 | Mary Shannon Sumner, 820 Memorial St Ste 1, Prosser, WA 99350-2504 Ph: (509) 786-2010 |
Maria Guadalupe Ayala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1109 Meade Ave, Prosser, WA 99350 Phone: 509-786-3323 | |
Ronda Eucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Court St, Prosser, WA 99350 Phone: 509-786-2477 | |
Dixie L George, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Merlot Drive, Suite F, Prosser, WA 99350 Phone: 509-303-9947 | |
Ed Thornbrugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1031 Burgundy Pl, Prosser, WA 99350 Phone: 509-786-4196 | |
Jorge Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 133814 W Shelby Rd, Prosser, WA 99350 Phone: 509-303-0501 | |
Ms. Jennifer H Paras, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 |