| Patrick Lawrence Shannon, RPA-C | |
|
315 S Manning Blvd, Albany, NY 12208-1707 | |
| (518) 525-1550 | |
| (518) 525-6815 |
| Full Name | Patrick Lawrence Shannon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 315 S Manning Blvd, Albany, New York |
| 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 |
|---|---|---|---|
| 1245582717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 016097 (New York) | Secondary |
| 363A00000X | Physician Assistant | 016097 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Peter's Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Peter's Health Partners Medical Associates, P.c. | 6103061189 | 480 |
| Entity Name | St Peters Hospital of the City of Albany |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
| Entity Name | St. Peter's Health Partners Medical Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Lawrence Shannon, RPA-C Po Box 14890, Albany, NY 12212 Ph: Not Available | Patrick Lawrence Shannon, RPA-C 315 S Manning Blvd, Albany, NY 12208-1707 Ph: (518) 525-1550 |
Karen L Bertasso, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-489-2663 |
Sean William Leahy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1367 Washington Ave Ste 200, Albany, NY 12206 Phone: 518-489-2999 Fax: 518-489-5933 |
Brianna Samson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5332 |
Pavel Voronko, MS,PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-453-9088 Fax: 518-453-9088 |
Elizabeth Howard Mahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Palisades Dr Ste 100, Albany, NY 12205 Phone: 518-438-4496 |
Nicoletta Serafina Pacilli, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-5634 |
Taylor Sekyra, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5521 |