| John P Shannon, MD | |
|
301 W Poplar, Suite 210, Walla Walla, WA 99362 | |
| (509) 522-5825 | |
| (509) 529-3512 |
| Full Name | John P Shannon |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 54 Years |
| Location | 301 W Poplar, Walla Walla, Washington |
| 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 |
|---|---|---|---|
| 1982610903 | NPI | - | NPPES |
| 1696004 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 15136 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 223 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Mailing Address | Practice Location Address |
|---|---|
| John P Shannon, MD Po Box 2292, Walla Walla, WA 99362 Ph: (509) 522-5815 | John P Shannon, MD 301 W Poplar, Suite 210, Walla Walla, WA 99362 Ph: (509) 522-5825 |
Ernest William Steinle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-522-5765 Fax: 509-522-5558 | |
Dr. Moustapha Dimachk, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 095-897-3790 Fax: 509-897-5558 | |
Dr. Frederick Ian Field, M.D., FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 W Poplar St, Suite 50, Walla Walla, WA 99362 Phone: 509-522-5765 Fax: 509-522-5516 | |
Scott G Newbold, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 | |
Nicholas Michael, DO Surgery Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-3790 |