Shannon Willis, | |
1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694 | |
(706) 593-1389 | |
Not Available |
Full Name | Shannon Willis |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 1000 Medical Center Blvd, Lawrenceville, 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 |
---|---|---|---|
1487971263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 075178 (Georgia) | Secondary |
208M00000X | Hospitalist | 075178 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
Salina Regional Health Center | Salina, KS | Hospital |
King's Daughters' Medical Center | Ashland, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phoebe Physician Group Inc | 8426112350 | 342 |
Kings Daughters Medical Specialties Inc | 6103968029 | 328 |
Salina Regional Health Center Inc | 0446168215 | 138 |
Entity Name | Gwinnett Hospital System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952340994 PECOS PAC ID: 8123916426 Enrollment ID: O20040309000009 |
Entity Name | Piedmont Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820 |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Entity Name | Cogent Healthcare Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Entity Name | Gwinnett Physician Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Entity Name | Phoebe Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Mailing Address | Practice Location Address |
---|---|
Shannon Willis, 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694 Ph: (706) 593-1389 | Shannon Willis, 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694 Ph: (706) 593-1389 |
Vasundhara Cheekati, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 404-778-3914 Fax: 404-778-5495 | |
Anteneh Birru, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3273 | |
Amber Y Kuk, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3282 | |
Dr. Paul Skokanic, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3273 Fax: 678-312-3282 | |
Brandon Jamal Hamm, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3282 | |
Dr. Samatha Muppidi, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd., Kaiser Permanente At Gwinnett Medical Center, Lawrenceville, GA 30046 Phone: 678-447-8507 Fax: 678-312-2651 | |
Dr. Sahil C Tah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3273 Fax: 678-312-3282 |