| Shanna Michele Welgraven, DO | |
|
2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558-3895 | |
| (912) 540-6750 | |
| (912) 540-6773 |
| Full Name | Shanna Michele Welgraven |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 13 Years |
| Location | 2060 Dan Proctor Dr Ste 1200, Saint Marys, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629333190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 66710 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperative Healthcare Services, Inc. | 9830093640 | 199 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Michele Welgraven, DO Po Box 1213, Brunswick, GA 31521-1213 Ph: (303) 861-4914 | Shanna Michele Welgraven, DO 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558-3895 Ph: (912) 540-6750 |
Livio Federico Pardi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 203 Lakeshore Pt, Saint Marys, GA 31558 Phone: 912-576-6465 | |
Stephen A Nickisch, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558 Phone: 912-540-6750 Fax: 912-540-6773 | |
Dr. Richard Lyle Brandon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 202 Lakeshore Dr, Suite A, Saint Marys, GA 31558 Phone: 912-673-1771 Fax: 912-673-1811 | |
Michelle Yvonne Perry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr, Suite 1800, Saint Marys, GA 31558 Phone: 912-510-7376 Fax: 912-510-7377 | |
Dr. Roxanne R Mody, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558 Phone: 912-540-6750 |