| Shannon Duvernell, DO | |
|
4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | |
| (720) 777-1234 | |
| Not Available |
| Full Name | Shannon Duvernell |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 4090 Briargate Pkwy, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265813562 | NPI | - | NPPES |
| 1265813562 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 125.067151 (Illinois) | Secondary |
| 208000000X | Pediatrics | 69343-21 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | DR.0068984 (Colorado) | Primary |
| Entity Name | Thedacare, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Duvernell, DO Po Box 110429, Aurora, CO 80042-0429 Ph: Not Available | Shannon Duvernell, DO 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 Ph: (720) 777-1234 |
Adam Christopher Danley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 |
Candace Denise Brown, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 |
Subodh Adhikari, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 |
Carolina Isabel Espindola Camacho, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 |
Christopher J Ryan, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 2222 N. Nevada Ave, Suite 4001, Colorado Springs, CO 80907 Phone: 719-538-2936 Fax: 719-538-2961 |