| Shannon Marie Davidson, CNM | |
|
420 S 5th Ave, West Reading, PA 19611-2143 | |
| (484) 628-4075 | |
| Not Available |
| Full Name | Shannon Marie Davidson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 420 S 5th Ave, West Reading, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629548102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | MW010508 (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN549859 (Pennsylvania) | Secondary |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Davidson, CNM Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-0799 | Shannon Marie Davidson, CNM 420 S 5th Ave, West Reading, PA 19611-2143 Ph: (484) 628-4075 |
Audrey K. Groff, CNMW Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6th Ave And Spruce St, West Reading, PA 19611 Phone: 610-988-8446 Fax: 610-988-4242 |
Elizabeth Letts, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6th Avenue & Spruce Street, West Reading, PA 19611 Phone: 610-898-6611 |