| Robin Sue Shannon, PMHNP | |
|
420 Main St Ste 15, Walpole, MA 02081-3753 | |
| (508) 660-1666 | |
| (508) 660-1667 |
| Full Name | Robin Sue Shannon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 420 Main St Ste 15, Walpole, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518383223 | NPI | - | NPPES |
| 1518383223 | Medicaid | NC | |
| NP4339 | Medicaid | SC |
| Entity Name | Angel Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497753651 PECOS PAC ID: 9638253297 Enrollment ID: O20090312000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Sue Shannon, PMHNP 420 Main St Ste 15, Walpole, MA 02081-3753 Ph: (508) 660-1666 | Robin Sue Shannon, PMHNP 420 Main St Ste 15, Walpole, MA 02081-3753 Ph: (508) 660-1666 |
Mrs. Casey Tanya Mcgrath, RN, BSN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 | |
Marybeth Bosak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton St Apt B, Walpole, MA 02081 Phone: 508-596-8760 | |
Courtney Healy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 Fax: 508-660-1209 | |
Matthew Peculis, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Providence Hwy Unit 167, Walpole, MA 02081 Phone: 508-660-7949 | |
Melissa E Eaton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Main St Ste 15, Walpole, MA 02081 Phone: 508-660-1666 Fax: 508-660-1667 | |
Amanda Lynn Boutin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Providence Hwy, Walpole, MA 02032 Phone: 781-255-0500 | |
Mr. David Nicholas Martino, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Providence Hwy Ste 167, Walpole, MA 02081 Phone: 508-660-7949 Fax: 508-660-7943 |