| Ms Shannon Daugherty, NP | |
|
31 Arnot Rd, Suite A, Horseheads, NY 14845-8533 | |
| (607) 739-3874 | |
| (607) 739-3632 |
| Full Name | Ms Shannon Daugherty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 31 Arnot Rd, Horseheads, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669441044 | NPI | - | NPPES |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| P00098788 | Other | NY | RR MEDICARE PIN |
| 02388796 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F320015-1 (New York) | Primary |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Entity Name | Southern Tier Medical Care - Ny Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134646276 PECOS PAC ID: 4981953106 Enrollment ID: O20180822000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shannon Daugherty, NP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Ms Shannon Daugherty, NP 31 Arnot Rd, Suite A, Horseheads, NY 14845-8533 Ph: (607) 739-3874 |
Kylene Maria Morse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 John Roemmelt Dr Ste 101, Horseheads, NY 14845 Phone: 607-739-0352 Fax: 607-739-6909 | |
Ilan H Hadar, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Burkeshire Dr, Horseheads, NY 14845 Phone: 607-651-8999 | |
Mary Rachel Westerfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 John Roemmelt Dr Ste 302, Horseheads, NY 14845 Phone: 607-873-1810 Fax: 607-562-3157 | |
Kate Susanne Larrabee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Arnot Rd, Horseheads, NY 14845 Phone: 607-795-5100 | |
Ms. Rosalyn Anne Dubois, FNP, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 Hickory Grove Rd, Horseheads, NY 14845 Phone: 607-739-0962 | |
Frances Lambiase, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2977 Westinghouse Rd, Horseheads, NY 14845 Phone: 607-684-6115 Fax: 607-684-6120 | |
Anna Mary Clifford, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 100, Horseheads, NY 14845 Phone: 607-742-2264 |