| Shelby Lawanson, | |
|
4225 Altamont Pl Ste 3, White Plains, MD 20695-3064 | |
| (301) 843-1600 | |
| Not Available |
| Full Name | Shelby Lawanson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 4225 Altamont Pl Ste 3, White Plains, Maryland |
| 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 |
|---|---|---|---|
| 1700763323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0010154 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Dermatology Of White Plains Llc | 5496037848 | 7 |
| Entity Name | Integrated Dermatology of White Plains LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225581879 PECOS PAC ID: 5496037848 Enrollment ID: O20170120000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Lawanson, 4225 Altamont Pl Ste 3, White Plains, MD 20695-3064 Ph: Not Available | Shelby Lawanson, 4225 Altamont Pl Ste 3, White Plains, MD 20695-3064 Ph: (301) 843-1600 |
Ms. Alisha R Bradshaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4225 Altamont Pl, White Plains, MD 20695 Phone: 410-955-5000 |
Julie Ahyoung Kim, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4255 Altamont Pl, White Plains, MD 20695 Phone: 301-645-1781 Fax: 301-374-9237 |
Nicole Theresa Konschnik, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4255 Altamont Pl Ste 301, White Plains, MD 20695 Phone: 301-645-1781 Fax: 301-374-9237 |
Mrs. Meghan Berger Pocius, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4225 Altamont Pl, Unit 3, White Plains, MD 20695 Phone: 301-843-1600 |
Mrs. Sonya Karbach Marino, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4225 Altamont Pl Ste 101, White Plains, MD 20695 Phone: 301-645-0013 Fax: 301-645-1183 |
Mrs. Zamyra Chardonnay Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4470 Regency Pl Ste 106, White Plains, MD 20695 Phone: 240-252-2140 Fax: 240-252-2141 |
Jasmine Asantewaa Darko, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4470 Regency Pl Ste 106, White Plains, MD 20695 Phone: 240-252-2140 |