| Shannon Wang Clark, MD | |
|
301 Riverview Ave Ste 202a, Norfolk, VA 23510-1065 | |
| (757) 252-9140 | |
| (757) 793-4149 |
| Full Name | Shannon Wang Clark |
|---|---|
| Gender | Female |
| Speciality | Neurosurgery |
| Experience | 15 Years |
| Location | 301 Riverview Ave Ste 202a, Norfolk, Virginia |
| 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 |
|---|---|---|---|
| 1316258569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | MT197142 (Pennsylvania) | Secondary |
| 207T00000X | Neurological Surgery | 0101261902 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentara Medical Group | 8921903923 | 1200 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Wang Clark, MD 301 Riverview Ave Ste 202a, Norfolk, VA 23510-1065 Ph: (757) 252-9140 | Shannon Wang Clark, MD 301 Riverview Ave Ste 202a, Norfolk, VA 23510-1065 Ph: (757) 252-9140 |
Wilson Parrish Daugherty, M.D., PH. D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 Fax: 757-793-4149 | |
Jodi Anderson Gehring, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9015 Fax: 757-510-9041 | |
Mr. Paul Bruce Mitchell Jr., MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 | |
Rachel Elaine Creech, PA Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 | |
Wylie Hung Zhu, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 Fax: 757-793-4149 | |
Mr. Ran Vijai Pratap Singh, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 | |
Joseph Frank Dilustro, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Suite 5a, Norfolk, VA 23507 Phone: 757-668-7990 Fax: 757-668-7995 |