| Cimmie Lynne Shahan, MD | |
|
3725 11th Cir, Vero Beach, FL 32960-4804 | |
| (772) 562-0163 | |
| Not Available |
| Full Name | Cimmie Lynne Shahan |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 3725 11th Cir, Vero Beach, 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 |
|---|---|---|---|
| 1356508154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME176405 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| Jackson General Hospital | Ripley, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Cimmie Lynne Shahan, MD 1214 Paradise Point Ct, Morgantown, WV 26508-1619 Ph: (717) 968-2500 | Cimmie Lynne Shahan, MD 3725 11th Cir, Vero Beach, FL 32960-4804 Ph: (772) 562-0163 |
Dr. Robert R Bisset, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Bernadette G Ramos-cardona, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Vero Radiology, Indian River, 3725 11th Cir, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Joanne Wojick Wernicki, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1485 37th St, Suite 107, Vero Beach, FL 32960 Phone: 772-569-9745 Fax: 772-567-6868 | |
Carl Tack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-563-4711 | |
Dr. John James Holmes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 Fax: 772-567-5631 | |
Raymond Sutkowski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Dr. David M Tabriz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |