| Diana Scanlon, CNP | |
|
45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 | |
| (586) 247-4300 | |
| (586) 532-6496 |
| Full Name | Diana Scanlon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 45640 Schoenherr Rd, Shelby Township, 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 |
|---|---|---|---|
| 1043651458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 4704267416 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 4704267416 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Clair Specialty Physicians Pc | 6204733256 | 34 |
| Entity Name | St Clair Specialty Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154361616 PECOS PAC ID: 6204733256 Enrollment ID: O20040310000808 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Scanlon, CNP 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 Ph: (586) 247-4300 | Diana Scanlon, CNP 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 Ph: (586) 247-4300 |
Russell Miller, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315 Phone: 586-731-8400 | |
Miss Joey Fattizzo, FNP, RN, RDH Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 45445 Mound Round, Suite 105, Shelby Township, MI 48317 Phone: 586-200-8707 Fax: 248-282-1313 | |
Kaitlyn Dawn Quinn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8449 Williamstown Dr, Shelby Township, MI 48316 Phone: 586-864-6873 | |
Mrs. Karey Hartford, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49310 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-731-8900 Fax: 586-726-5439 | |
Tyler Mclaughlan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14270 Oakwood Dr, Shelby Township, MI 48315 Phone: 586-900-9444 | |
Kathleen Lewis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46961 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-991-5205 |