| Mr Grant Shannon, NP | |
|
206 Cornelia St, Suite 105, Plattsburgh, NY 12901-2878 | |
| (518) 561-5516 | |
| Not Available |
| Full Name | Mr Grant Shannon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 206 Cornelia St, Plattsburgh, New York |
| 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 |
|---|---|---|---|
| 1881139863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F308051-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alice Hyde Medical Center | 4082525837 | 72 |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Entity Name | Alice Hyde Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114954682 PECOS PAC ID: 4082525837 Enrollment ID: O20031126000357 |
| Entity Name | Elizabethtown Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20040521000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Grant Shannon, NP 206 Cornelia St, Suite 105, Plattsburgh, NY 12901-2878 Ph: (518) 561-5516 | Mr Grant Shannon, NP 206 Cornelia St, Suite 105, Plattsburgh, NY 12901-2878 Ph: (518) 561-5516 |
Alyssa Lynn Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 | |
Rebecca Carter, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 206 Cornelia St Ste 104, Plattsburgh, NY 12901 Phone: 518-562-7557 Fax: 518-562-7559 | |
Mrs. Mary Anne Carter, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901 Phone: 518-563-3260 Fax: 518-561-2877 | |
Joshua Michael Korb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Prospect Ave, Plattsburgh, NY 12901 Phone: 518-563-5440 | |
Emily Allison Ashline, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 | |
Sarah Beth Wood, MSN, FNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Broad St, Plattsburgh, NY 12901 Phone: 518-825-1555 | |
Suzanne Laborde, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901 Phone: 518-824-2563 Fax: 833-448-3030 |