| Bethany R Shanku, PA-C | |
|
26025 Lahser Rd Fl 3, Southfield, MI 48033-2606 | |
| (248) 663-1923 | |
| (248) 809-3378 |
| Full Name | Bethany R Shanku |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 26025 Lahser Rd Fl 3, Southfield, Michigan |
| 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 |
|---|---|---|---|
| 1851581573 | NPI | - | NPPES |
| 4158075 | Other | TN | BC/BS TN - CUMBERLAND BACK PAIN CLINIC, P.C. |
| 4190395 | Other | TN | BS/BS TN - LEBANON BACK PAIN CLINIC, P.C. |
| 3665093 | Medicaid | TN | |
| PA1507 | Other | TN | STATE LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Insight Hospital And Medical Center Coldwater | Coldwater, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Orthopaedic Surgeons Pllc | 7810277811 | 127 |
| Entity Name | Michigan Neurology Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861498362 PECOS PAC ID: 8628987468 Enrollment ID: O20050330000269 |
| Entity Name | Michigan Orthopaedic Surgeons PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306394309 PECOS PAC ID: 7810277811 Enrollment ID: O20161208002428 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany R Shanku, PA-C 26211 Central Park Blvd Ste 201, Southfield, MI 48076-4158 Ph: (833) 667-3627 | Bethany R Shanku, PA-C 26025 Lahser Rd Fl 3, Southfield, MI 48033-2606 Ph: (248) 663-1923 |
Alexa Chris Jarboa, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21311 Civic Center Dr, Southfield, MI 48076 Phone: 248-881-9800 |
Alexandria Sheree Romero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16500 N Park Dr Apt 1806, Southfield, MI 48075 Phone: 209-777-1245 |
Amy G. Connolly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22255 Greenfield Rd Ste 590, Southfield, MI 48075 Phone: 248-849-4990 Fax: 248-849-4991 |
Mr. Gary Girard Errigo, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17515 W Nine Mile Road, Suite 340, Southfield, MI 48075 Phone: 248-569-2695 Fax: 248-569-7250 |
Elizabeth Kowynia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29405 Greenfield Rd, Southfield, MI 48076 Phone: 248-983-5330 Fax: 248-327-7482 |
Mrs. Amanda Jane Marcozzi, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 |
Ms. Eleanor Rachael Wiedeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd Fl 2, Southfield, MI 48033 Phone: 248-663-1900 Fax: 844-598-9633 |