| Mrs Shannon Harrison Malone, FNP-BC | |
|
2725 Capitol Ave Dept 300, Sacramento, CA 95816-6006 | |
| (916) 262-9370 | |
| (916) 262-9375 |
| Full Name | Mrs Shannon Harrison Malone |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2725 Capitol Ave Dept 300, Sacramento, California |
| 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 |
|---|---|---|---|
| 1033826060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP95034889 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209.026522 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Good Health Pc Inc | 5294106027 | 48 |
| Nightingale Clinical Care Pc | 2365871464 | 12 |
| Entity Name | Nightingale Clinical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972159069 PECOS PAC ID: 2365871464 Enrollment ID: O20200409003495 |
| Entity Name | Greater Good Health PC Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821673005 PECOS PAC ID: 5294106027 Enrollment ID: O20230113001472 |
| Entity Name | Villagehealth DM LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20230417001772 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Harrison Malone, FNP-BC Po Box 255228, Sacramento, CA 95865-5228 Ph: (800) 470-0071 | Mrs Shannon Harrison Malone, FNP-BC 2725 Capitol Ave Dept 300, Sacramento, CA 95816-6006 Ph: (916) 262-9370 |
Alexia Pratt Monahan, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2279 45th St, Sacramento, CA 95817 Phone: 916-734-5959 |
Blanca E Avila, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Scripps Dr Ste 302, Sacramento, CA 95825 Phone: 714-472-7942 |
Sumon Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145 |
Elena Walterman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387 |
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935 |
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 |
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682 |