Mrs Shannon Elizabeth Johnson, PA-C | |
83 Lewis St, Dryden, NY 13053 | |
(607) 844-8201 | |
(607) 844-4922 |
Full Name | Mrs Shannon Elizabeth Johnson |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 83 Lewis St, Dryden, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922178045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 007939-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Shannon Elizabeth Johnson, PA-C 4 Ferndale Ln, Homer, NY 13077-9418 Ph: (607) 749-6511 | Mrs Shannon Elizabeth Johnson, PA-C 83 Lewis St, Dryden, NY 13053 Ph: (607) 844-8201 |
Rebecca Tillotson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Evergreen St., Dryden, NY 13053 Phone: 607-844-8181 Fax: 607-844-4288 | |
Kevin Sullivan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 83 Lewis Street, Dryden, NY 13053 Phone: 607-844-8201 Fax: 607-231-4216 |