| Sara Shanahan, CNM | |
|
11100 Summer Ridge Lane, Fort Myers, FL 33908-4064 | |
| (239) 344-2348 | |
| (239) 479-5194 |
| Full Name | Sara Shanahan |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 8 Years |
| Location | 11100 Summer Ridge Lane, Fort Myers, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871001370 | NPI | - | NPPES |
| 023637900 | Medicaid | FL | |
| JG996Z | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | ARNP9356720 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hendry County Hospital Authority | 8022912435 | 16 |
| Raulerson Gyn Llc | 9335213388 | 5 |
| Entity Name | Hendry County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356360424 PECOS PAC ID: 8022912435 Enrollment ID: O20031126000106 |
| Entity Name | Raulerson Gyn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356528210 PECOS PAC ID: 9335213388 Enrollment ID: O20080808000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Shanahan, CNM Po Box 919771, Orlando, FL 32891-9771 Ph: (239) 278-3600 | Sara Shanahan, CNM 11100 Summer Ridge Lane, Fort Myers, FL 33908-4064 Ph: (239) 344-2348 |
Ashley M Shopp, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9800 S Healthpark Dr Ste 205, Fort Myers, FL 33908 Phone: 239-343-7130 Fax: 239-343-7185 | |
Mandi H Wade, ARNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4040 Palm Beach Blvd Ste F, Fort Myers, FL 33916 Phone: 239-343-7100 Fax: 239-343-7190 | |
Kimberly Tibai, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 13195 Metro Pkwy Ste 6-9, Fort Myers, FL 33966 Phone: 239-344-2348 Fax: 239-479-5194 | |
Liz Marie Curtis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 15901 Bass Rd Ste 100, Fort Myers, FL 33908 Phone: 239-343-6100 Fax: 239-343-9925 | |
Martha A Mckaig Linnemeyer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 13195 Metro Pkwy, Ste 6-9, Fort Myers, FL 33966 Phone: 239-344-2348 Fax: 239-479-5194 | |
Kwee Green, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4040 Palm Beach Blvd Ste F, Fort Myers, FL 33916 Phone: 239-343-7100 Fax: 239-343-7190 | |
Mrs. Taryn Benson Gillis, NP-C Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9800 S Healthpark Dr Ste 205, Fort Myers, FL 33908 Phone: 239-343-7130 Fax: 239-343-7185 |