| Shannon Malena Dooley, N P | |
|
420 W Longest St, Paoli, IN 47454-8821 | |
| (812) 723-3944 | |
| (812) 723-5292 |
| Full Name | Shannon Malena Dooley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 420 W Longest St, Paoli, Indiana |
| 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 |
|---|---|---|---|
| 1558463885 | NPI | - | NPPES |
| 200452120A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71001609A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascenson At Home | Indianapolis, IN | Home health agency |
| Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Indiana Community Health Care Inc | 5799694360 | 20 |
| Entity Name | Southern Indiana Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Malena Dooley, N P 420 W Longest St, Po Box 270, Paoli, IN 47454-8821 Ph: (812) 723-7993 | Shannon Malena Dooley, N P 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3944 |
Mackenzie Elise Gaw, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3994 | |
Jaclynn Marie Thacker, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 | |
Michael Daggy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7451 Fax: 812-723-7508 | |
Linda Carol Wells-freiberger, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Cherry Street, Paoli, IN 47454 Phone: 812-723-0150 | |
Jill Christine Evans, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-7991 | |
Sarah Jones Whiteman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 W Longest Street, Paoli, IN 47454 Phone: 812-723-7440 |