Mrs Shannon Nichole Hewitt, NP-C | |
60 Mdg/sgic, 101 Bodin Cir, Travis Afb, CA 94535-1800 | |
(707) 423-3964 | |
Not Available |
Full Name | Mrs Shannon Nichole Hewitt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 60 Mdg/sgic, Travis Afb, 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 |
---|---|---|---|
1821413873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95001639 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Queens University Medical Group | 2466831557 | 543 |
The Queens Medical Center | 3476454067 | 187 |
Entity Name | The Queens Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
Entity Name | Queens University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shannon Nichole Hewitt, NP-C 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3964 | Mrs Shannon Nichole Hewitt, NP-C 60 Mdg/sgic, 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (707) 423-3964 |
Brandy J Ellis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Missouri Way, Travis Afb, CA 94535 Phone: 478-235-4354 | |
Samantha Obrien, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5124 | |
Ann Marie Zenobia, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7927 | |
Yardana Gill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357 | |
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894 | |
Zlatoslava Karga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174 | |
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311 |