| Dr John A Shannon, MD | |
|
1304 13th Ave Se, Decatur, AL 35601-4359 | |
| (256) 355-9711 | |
| (256) 351-9717 |
| Full Name | Dr John A Shannon |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1304 13th Ave Se, Decatur, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437118825 | NPI | - | NPPES |
| 000083233 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 57091 (Alabama) | Primary |
| Entity Name | WT Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295223279 PECOS PAC ID: 1951650613 Enrollment ID: O20180814002772 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John A Shannon, MD 1304 13th Ave Se, Decatur, AL 35601-4359 Ph: (256) 355-9711 | Dr John A Shannon, MD 1304 13th Ave Se, Decatur, AL 35601-4359 Ph: (256) 355-9711 |
Dr. Cara L Hoffman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1874 Beltline Rd Sw, Suite 300, Decatur, AL 35601 Phone: 256-350-9700 Fax: 256-350-9797 |
Gerry Francis Ellis, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1304 13th Ave Se, Suite A, Decatur, AL 35601 Phone: 256-355-9216 Fax: 256-351-6327 |
Dr. Mitchell W Schuster, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1304 13th Ave Se, Decatur, AL 35601 Phone: 256-355-9711 Fax: 256-351-9717 |
Susan Goldby, C.R.N.P Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1304 13th Ave Se, Decatur, AL 35601 Phone: 256-355-9711 Fax: 256-351-9717 |
Dr. Moses A Awoniyi, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2046 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-353-0410 Fax: 256-353-0649 |
Dr. G William Manifold, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1874 Beltline Rd Sw, Suite 300, Decatur, AL 35601 Phone: 256-350-9700 Fax: 256-350-9797 |
Hayden Hamby Kassels, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1304 13th Ave Se Ste B, Decatur, AL 35601 Phone: 256-973-5216 Fax: 256-973-3177 |