| Shannon Delong, PA-C | |
|
2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787-5050 | |
| (407) 614-0528 | |
| (407) 614-0529 |
| Full Name | Shannon Delong |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 2000 Fowler Grove Blvd Fl 3, Winter Garden, Florida |
| 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 |
|---|---|---|---|
| 1497752679 | NPI | - | NPPES |
| 291344500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101942 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 1249 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 1260 |
| Adventhealth Primary Care Network Inc | 1557722410 | 428 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Delong, PA-C 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787-5050 Ph: (407) 614-0528 | Shannon Delong, PA-C 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787-5050 Ph: (407) 614-0528 |
Chelsea Eunhae Han, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 641 Canopy Estates Dr, Winter Garden, FL 34787 Phone: 407-399-1466 |
Laura Catherine Mendoza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3131 Daniels Rd Ste 106, Winter Garden, FL 34787 Phone: 407-654-8186 Fax: 407-877-7956 |
Vlad Richko, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3724 Winter Garden Vineland Rd Bldg 2, Winter Garden, FL 34787 Phone: 407-440-2728 Fax: 407-792-4152 |
Aneesa Allie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 436 N Dillard St, Winter Garden, FL 34787 Phone: 407-877-8080 Fax: 407-877-0907 |
Nicole Marie Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787 Phone: 407-614-0528 Fax: 407-614-0529 |
Leah Williams, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 153 Sugar Belle Dr Ste J, Winter Garden, FL 34787 Phone: 407-203-1682 |
Laura Sophia Ann Kelly, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 222 S Main St, Winter Garden, FL 34787 Phone: 407-694-8450 |