| Shannon Marie Cislo, PA-C | |
|
462626 State Road 200 Ste 100, Yulee, FL 32097-5513 | |
| (904) 225-3824 | |
| (904) 390-7440 |
| Full Name | Shannon Marie Cislo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 462626 State Road 200 Ste 100, Yulee, Florida |
| 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 |
|---|---|---|---|
| 1821719899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9117460 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 420 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Cislo, PA-C Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-2092 | Shannon Marie Cislo, PA-C 462626 State Road 200 Ste 100, Yulee, FL 32097-5513 Ph: (904) 225-3824 |
Jimmie Stone, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 | |
Tiara Lei Funkhouser, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 463380 State Road 200 Unit B, Yulee, FL 32097 Phone: 904-500-9808 Fax: 904-432-0401 | |
Joshua Woodin, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 463832 Sr 200, Yulee, FL 32097 Phone: 904-225-2311 Fax: 904-225-8481 | |
Mrs. Megan Lynn Day, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 Fax: 904-633-0671 | |
Evan James Leonard, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 | |
Sharon Renee Lettsome, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 463142 Sr 200, Yulee, FL 32097 Phone: 904-225-8280 |