| Shannon Vance, | |
|
707 Sheridan Ave, Cody, WY 82414-3409 | |
| (307) 587-2139 | |
| Not Available |
| Full Name | Shannon Vance |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 707 Sheridan Ave, Cody, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427425156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 700729 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 40029-1636 (Wyoming) | Primary |
| Entity Name | Anesthesia Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043285935 PECOS PAC ID: 4587631064 Enrollment ID: O20040914000733 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Vance, Po Box 1155, Billings, MT 59103-1155 Ph: (406) 248-3290 | Shannon Vance, 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 587-2139 |
Ms. Shelly Marie Green, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-587-2139 | |
Brent Adam Mcallister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Sandra E Whalen, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-587-2139 | |
Barton E Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-578-1860 Fax: 307-587-2364 |