| Peter Andrew Shannon, PA | |
|
2070 Biddle Ave, Wyandotte, MI 48192-4080 | |
| (734) 225-9100 | |
| Not Available |
| Full Name | Peter Andrew Shannon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 2070 Biddle Ave, Wyandotte, Michigan |
| 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 |
|---|---|---|---|
| 1891081626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005978 (Michigan) | Primary |
| 363A00000X | Physician Assistant | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyandotte Hospital And Medical Center | Wyandotte, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Wyandotte Hospital | 2264334499 | 194 |
| Entity Name | Henry Ford Wyandotte Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Andrew Shannon, PA 44727 Erik Pass, Plymouth, MI 48170-3976 Ph: (989) 413-0862 | Peter Andrew Shannon, PA 2070 Biddle Ave, Wyandotte, MI 48192-4080 Ph: (734) 225-9100 |
Marissa Gabrielle Romo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 |
Dr. Ibrahim Hussein Dabaja, PA-C, PH.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1768 Ford Ave, Wyandotte, MI 48192 Phone: 313-377-5758 Fax: 734-574-6060 |
Alyssa Christie, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 735-246-6000 |
Kayla Gacioch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Biddle Ave Ste 100, Wyandotte, MI 48192 Phone: 734-246-5705 |
Kaitlin Elizabeth Flaherty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 |
Vanessa Varma, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 Ford Ave, Ste. 100, Wyandotte, MI 48192 Phone: 586-612-3556 |
Alexis Alicia Hernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2070 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 |