| Shanna Pollock Bradshaw, PA | |
|
7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | |
| (910) 300-4500 | |
| (910) 550-3787 |
| Full Name | Shanna Pollock Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 7910 Us Hwy 117 S, Rocky Point, North Carolina |
| 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 |
|---|---|---|---|
| 1265514087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103392 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pender Memorial Hospital | Burgaw, NC | Hospital |
| Novant Health New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group Coastal Region Llc | 2860809936 | 577 |
| Entity Name | Columbus Regional Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508001009 PECOS PAC ID: 6608924931 Enrollment ID: O20090424000511 |
| Entity Name | Masonboro Urgent Care, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427389865 PECOS PAC ID: 9638206287 Enrollment ID: O20100429001183 |
| Entity Name | Novant Health Medical Group Coastal Region LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Pollock Bradshaw, PA Po Box 19305, Charlotte, NC 28219-9305 Ph: Not Available | Shanna Pollock Bradshaw, PA 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 Ph: (910) 300-4500 |
Mr. John C. Wadsworth, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7910 Us Highway 117 S, Suite 120, Rocky Point, NC 28457 Phone: 910-259-0400 Fax: 910-675-3030 |
Karina Mclamb, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457 Phone: 910-300-4500 Fax: 910-550-3787 |
Kevin Christopher Panebianco, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 Us Hwy 117 S Unit 120, Rocky Point, NC 28457 Phone: 910-300-4500 Fax: 910-675-3030 |