| Shannon Boese, | |
|
1111 Baker Ave, Whitefish, MT 59937-2901 | |
| (406) 862-2515 | |
| Not Available |
| Full Name | Shannon Boese |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1111 Baker Ave, Whitefish, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861944852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Entity Name | Glacier Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104882232 PECOS PAC ID: 7911981188 Enrollment ID: O20040615001387 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Boese, 1129 Mackinaw Loop, Somers, MT 59932-9789 Ph: (516) 320-5937 | Shannon Boese, 1111 Baker Ave, Whitefish, MT 59937-2901 Ph: (406) 862-2515 |
Mrs. Katie E Wakeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Hospital Way Logan Health Whitefish, Whitefish, MT 59937 Phone: 406-863-3500 Fax: 989-837-9285 |
Mr. Christopher Kelley Price, PA-C MPA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6575 Hwy 93 S, Whitefish, MT 59937 Phone: 406-862-3500 |
Megan Groh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Baker Ave, Whitefish, MT 59937 Phone: 406-862-2515 |
Miss Stephanie Shipko, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Baker Ave, Whitefish, MT 59937 Phone: 406-862-2515 |