| Dr Clarinda Burton-shannon, MD | |
|
1405 W Baddour Pkwy Ste 105, Lebanon, TN 37087-2568 | |
| (615) 965-2467 | |
| (615) 965-2331 |
| Full Name | Dr Clarinda Burton-shannon |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1405 W Baddour Pkwy Ste 105, Lebanon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881644763 | NPI | - | NPPES |
| 3031979 | Other | TN | MEDICARE PROVIDER NUMBER |
| 3031979 | Medicaid | TN | |
| 3031977 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 16592 (Tennessee) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clarinda Burton-shannon, MD 1405 W Baddour Pkwy Ste 105, Lebanon, TN 37087-2568 Ph: (615) 965-2467 | Dr Clarinda Burton-shannon, MD 1405 W Baddour Pkwy Ste 105, Lebanon, TN 37087-2568 Ph: (615) 965-2467 |
Mr. Alton W Pickett, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 437 Park Ave, Suite A, Lebanon, TN 37087 Phone: 615-444-5102 Fax: 615-443-7390 | |
Logan Kai Williams, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Physicians Way Ste 320, Lebanon, TN 37090 Phone: 615-874-8006 Fax: 615-316-4026 |