| Dr Shannon Somer Stockton, MD | |
| 100 Highland Ave N, Largo, FL 33770-2542 | |
| (727) 683-2900 | |
| (727) 683-2901 | 
| Full Name | Dr Shannon Somer Stockton | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Medical Oncology | 
| Location | 100 Highland Ave N, Largo, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316444169 | NPI | - | NPPES | 
| 126524400 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RH0000X | Internal Medicine - Hematology | ME172744 (Florida) | Secondary | 
| 207RX0202X | Internal Medicine - Medical Oncology | ME172744 (Florida) | Primary | 
| Entity Name | Vanderbilt University Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 | 
| Entity Name | Vanderbilt Health Clinicians, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518726900 PECOS PAC ID: 2062955503 Enrollment ID: O20240625001511 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Shannon Somer Stockton, MD Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Dr Shannon Somer Stockton, MD 100 Highland Ave N, Largo, FL 33770-2542 Ph: (727) 683-2900 | 
| Dr. Julie Bard Fogarty, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8787 Bryan Dairy Rd Ste 320, Largo, FL 33777 Phone: 727-394-5650 Fax: 813-635-7939 | |
| Dr. James F. Rivenbark, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-586-6018 | |
| Randal G Worth, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13644 Walsingham Rd, Largo, FL 33774 Phone: 727-595-2519 Fax: 727-595-3872 | |
| Dr. Rubaiya Mallay, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13644 Walsingham Road, Largo, FL 33774 Phone: 727-595-2519 Fax: 727-595-3872 | |
| Suhail Kayyali,  Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 305-303-0317 | |
| Tatjana Webster, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Clearwater-largo Rd N, Largo, FL 33770 Phone: 727-584-4533 Fax: 727-581-7386 | |
| Andi Canhasi,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5704 Fax: 727-585-7205 |