| Shannon Patricia Williams, APRN | |
|
2330 N Wickham Rd Ste 12, Melbourne, FL 32935-8184 | |
| (321) 633-3278 | |
| Not Available |
| Full Name | Shannon Patricia Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2330 N Wickham Rd Ste 12, Melbourne, 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 |
|---|---|---|---|
| 1548917537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11018488 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 11018488 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Orlando, FL | Home health agency |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medfast Urgent Care Centers Llc | 1052418837 | 73 |
| Advanced Healthcare Integration Llc | 3476964438 | 7 |
| My Choice Operating Company Llc | 3779991542 | 60 |
| Entity Name | Medfast Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
| Entity Name | Advanced Healthcare Integration LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821696766 PECOS PAC ID: 3476964438 Enrollment ID: O20201123002014 |
| Entity Name | My Choice Operating Company LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174112007 PECOS PAC ID: 3779991542 Enrollment ID: O20210415000680 |
| Entity Name | Quantum Practitioner Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194426197 PECOS PAC ID: 7214392810 Enrollment ID: O20230504001086 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Patricia Williams, APRN 1801 Lost Lake Ct, Saint Cloud, FL 34771-8814 Ph: (561) 351-7057 | Shannon Patricia Williams, APRN 2330 N Wickham Rd Ste 12, Melbourne, FL 32935-8184 Ph: (321) 633-3278 |