| Shannon Kluttz, PA-C | |
|
3000 Coliseum Dr, Sentara Careplex Hospital Emergency Department, Hampton, VA 23666-5963 | |
| (757) 599-4922 | |
| Not Available |
| Full Name | Shannon Kluttz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 3000 Coliseum Dr, Hampton, Virginia |
| 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 |
|---|---|---|---|
| 1922481118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110005010 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Richmond Inc | 9830088434 | 70 |
| Entity Name | Radiology Associates of Richmond Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447297577 PECOS PAC ID: 9830088434 Enrollment ID: O20040312000021 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20061003000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Kluttz, PA-C Po Box 7422, Hampton, VA 23666-0422 Ph: (757) 599-4922 | Shannon Kluttz, PA-C 3000 Coliseum Dr, Sentara Careplex Hospital Emergency Department, Hampton, VA 23666-5963 Ph: (757) 599-4922 |
Shelby Rae Burton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 104, Hampton, VA 23666 Phone: 757-827-9400 |
Mr. Nelson Manuel Santana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000 |
Mrs. Carla Groshel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 104, Hampton, VA 23666 Phone: 757-827-9400 Fax: 757-827-9320 |
Mr. Alan David Abrams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-7052 |
Josiah David Hilerio, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666 Phone: 757-599-6333 Fax: 757-591-7261 |
Carissa Lynn Pardekooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2240 Coliseum Dr Ste D, Hampton, VA 23666 Phone: 888-321-7170 |
Alyssa Dutkiewicz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 577-764-1688 |