| Shannon Marrero, PA-C | |
|
8876 Synergy Dr Ste 100, Mckinney, TX 75070-1276 | |
| (972) 547-0047 | |
| (877) 400-6329 |
| Full Name | Shannon Marrero |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 8876 Synergy Dr Ste 100, Mckinney, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427452010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA09486 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA09486 (Texas) | Primary |
| Entity Name | Kingsley Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770143315 PECOS PAC ID: 7113348616 Enrollment ID: O20200610000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marrero, PA-C 8876 Synergy Dr Ste 100, Mckinney, TX 75070-1276 Ph: (972) 547-0047 | Shannon Marrero, PA-C 8876 Synergy Dr Ste 100, Mckinney, TX 75070-1276 Ph: (972) 547-0047 |
Mr. Trevor Fewins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Medical Center Dr Ste 100, Mckinney, TX 75069 Phone: 872-566-5255 |
Thomas Chase Nash, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Medical Center Dr Ste 100, Mckinney, TX 75069 Phone: 469-796-4295 |
Sarah Cunningham, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6850 Tpc Dr Ste 100, Mckinney, TX 75070 Phone: 214-383-4400 |
Jane Elizabeth Greenwood, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2709 Virginia Pkwy, Suite 100, Mckinney, TX 75071 Phone: 972-542-3300 Fax: 972-542-4311 |
Devin Keith Mccoy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7668 Eldorado Pkwy Ste 100, Mckinney, TX 75070 Phone: 214-817-4225 |
Nicole Williams, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4501 Medical Center Dr, Suite #200, Mckinney, TX 75069 Phone: 972-547-0352 Fax: 972-542-3528 |
Mrs. Lauren Elizabeth Bowman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5236 W University Dr Ste 3300, Mckinney, TX 75071 Phone: 972-562-4430 Fax: 972-529-2763 |