| Dr Larry Roland Shannon Ii, MD | |
|
5771 Royal Mile Blvd, Salisbury, MD 21801-2326 | |
| (410) 805-7039 | |
| Not Available |
| Full Name | Dr Larry Roland Shannon Ii |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 22 Years |
| Location | 5771 Royal Mile Blvd, Salisbury, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275762429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036.121453 (Illinois) | Secondary |
| 207T00000X | Neurological Surgery | D72508 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bassett Healthcare | Cooperstown, NY | Hospital |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | Hospital |
| Cobleskill Regional Hospital | Cobleskill, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Imogene Bassett Hospital | 3779488325 | 728 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Roland Shannon Ii, MD 5771 Royal Mile Blvd, Salisbury, MD 21801-2326 Ph: (410) 805-7039 | Dr Larry Roland Shannon Ii, MD 5771 Royal Mile Blvd, Salisbury, MD 21801-2326 Ph: (410) 805-7039 |
Dr. Bothwell Graves Lee, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1630 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-912-6330 | |
Dr. Curtis Norman Nelson, MD, PHD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 540 Snow Hill Rd, Salisbury, MD 21804 Phone: 410-912-6330 | |
Dr. Sophia Shakur, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 540 Snow Hill Rd, Salisbury, MD 21804 Phone: 410-912-6330 | |
Kofi Kessey, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1630 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-912-6330 | |
Dr. Muneshwar Devendra Tiwari, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-546-6400 | |
Julius David Zant, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 540 Snow Hill Rd, Salisbury, MD 21804 Phone: 410-860-0084 Fax: 410-860-0411 |