| Mr Shane Clinton Williamon I, CRNP | |
|
901 Keith Avenue, Anniston, AL 36202 | |
| (256) 236-8611 | |
| (256) 236-8636 |
| Full Name | Mr Shane Clinton Williamon I |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 901 Keith Avenue, Anniston, Alabama |
| 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 |
|---|---|---|---|
| 1881920353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 1-078396 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rohit G Patel Md | 5193989994 | 3 |
| Entity Name | Rohit G Patel Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801078209 PECOS PAC ID: 5193989994 Enrollment ID: O20120606000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane Clinton Williamon I, CRNP P.o. Box 1890, Anniston, AL 36203 Ph: (256) 236-8611 | Mr Shane Clinton Williamon I, CRNP 901 Keith Avenue, Anniston, AL 36202 Ph: (256) 236-8611 |
Amanda Marie Pearson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
Mary Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
Cori Clark Broadhead, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
Holly Flanagan Mays, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3312 Henry Rd, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676 | |
Jessica Benedicta Coby, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5896 | |
Dr. Dhara Sandip Patel, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
Jessica Marie Semyonova, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Christine Ave, Anniston, AL 36207 Phone: 256-236-5631 Fax: 256-241-2241 |