| Shannon Lyn Manley, FNP-BC | |
|
3900 Piedmont Ave, Oakland, CA 94611-5352 | |
| (415) 432-7899 | |
| (510) 899-7101 |
| Full Name | Shannon Lyn Manley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3900 Piedmont Ave, Oakland, California |
| 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 |
|---|---|---|---|
| 1780149153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95010607 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Plus Telehealth Inc | 0941630123 | 27 |
| Infusion Express Of California Inc | 2365720604 | 24 |
| Entity Name | Infusion Express of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447604525 PECOS PAC ID: 2365720604 Enrollment ID: O20161020002087 |
| Entity Name | Urgent Care Plus Telehealth Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568082774 PECOS PAC ID: 0941630123 Enrollment ID: O20200501000807 |
| Entity Name | Norcal Healthconnect LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001 |
| Entity Name | Norcal Healthconnect LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Lyn Manley, FNP-BC 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: Not Available | Shannon Lyn Manley, FNP-BC 3900 Piedmont Ave, Oakland, CA 94611-5352 Ph: (415) 432-7899 |
Emily Duane Lloyd, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437 |
Erica Tringale, N.P, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3373 |
Mr. Juan Casillas Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4800 |
Dr. Macy Lieu, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Webster St, Oakland, CA 94607 Phone: 510-986-6800 |
Shelley Anne Bull, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885 |
Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200 |
Leah Wambui Gatimu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2521 Seminary Ave # 1, Oakland, CA 94605 Phone: 510-631-0333 |