| Stephen Shannon, MD | |
|
395200 W 2900 Rd, Ochelata, OK 74051-2463 | |
| (918) 535-6000 | |
| (918) 535-2697 |
| Full Name | Stephen Shannon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 395200 W 2900 Rd, Ochelata, Oklahoma |
| 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 |
|---|---|---|---|
| 1780267625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38177 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
| Claremore Indian Hospital | Claremore, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Shannon, MD 395200 W 2900 Rd, Ochelata, OK 74051-2463 Ph: (918) 535-6000 | Stephen Shannon, MD 395200 W 2900 Rd, Ochelata, OK 74051-2463 Ph: (918) 535-6000 |
Gregory S. Brooks, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 | |
Brandon Hart, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 | |
Dr. Amanda Bighorse, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 | |
Dr. Amanda Ruth Gorden Green, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 Fax: 918-535-2694 |