| Dr Shanley Marie O'brien, MD | |
| 
					4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306  | |
| (231) 600-7466 | |
| Not Available | 
| Full Name | Dr Shanley Marie O'brien | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Rheumatology | 
| Location | 4100 Park Forest Dr Ste 200, Traverse City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104265933 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 4301500409 (Michigan) | Primary | 
| 207R00000X | Internal Medicine | 9408209 (Kansas) | Secondary | 
| Entity Name | Novello Specialty Clinic Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629716964 PECOS PAC ID: 3870961493 Enrollment ID: O20221201001361  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Shanley Marie O'brien, MD 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 Ph: (231) 600-7466  | Dr Shanley Marie O'brien, MD 4100 Park Forest Dr Ste 200, Traverse City, MI 49684-7306 Ph: (231) 600-7466  | 
John P Milliken, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 224 Circle Dr, Traverse City, MI 49684 Phone: 231-935-0525 Fax: 231-935-0529  | |
Dr. David R Hendricks, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 153 1/2 E Front St, Traverse City, MI 49684 Phone: 231-941-6670 Fax: 231-941-6675  | |
Dr. Jill Elizabeth Vollbrecht, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 5015 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0850 Fax: 231-935-0850  | |
Dr. Katrina Marie Lawrence-wolff, DO Rheumatology Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste A, Traverse City, MI 49684 Phone: 231-935-8330 Fax: 231-935-3437  | |
Steven M. Lamie, M. D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3537 W Front St, Suite I, Traverse City, MI 49684 Phone: 231-935-8950 Fax: 231-935-8868  | |
Anne M Hepner, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth St, Suite 200, Traverse City, MI 49684 Phone: 231-935-5800 Fax: 231-935-5799  | |
Mark V Galan, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684 Phone: 231-935-5710 Fax: 231-935-9045  |