| Shannon L Wilson, CNM | |
|
175 E Brown St, Suite 113, East Stroudsburg, PA 18301-3098 | |
| (570) 421-3401 | |
| (570) 421-0560 |
| Full Name | Shannon L Wilson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 175 E Brown St, East Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629344981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | MW010264 (Pennsylvania) | Primary |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Schuylkill Health System Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
| Entity Name | Hazleton Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon L Wilson, CNM 206 E Brown St, Pocono Healthcare Management, East Stroudsburg, PA 18301-3006 Ph: (570) 420-4951 | Shannon L Wilson, CNM 175 E Brown St, Suite 113, East Stroudsburg, PA 18301-3098 Ph: (570) 421-3401 |
Yverose Dalembert, CNM,WHNP-C Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 179 Independence Rd, East Stroudsburg, PA 18301 Phone: 570-426-2700 Fax: 570-421-0560 |