Shannon R Boyer (NPI# 1124224894, PAC ID# 0446476782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1124224894 |
| PAC ID by PECOS | 0446476782 |
| Professional Enrollment ID | I20140723001880 |
| Full Name | Shannon R Boyer |
| Organization Legal Name | SENIOR PSYCHOLOGICAL CARE I LLC |
| Address |
470 Moore Dr Vidor TX 77662-3843 |
| Phone Number | 4097692454 |
| Gender | F |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 1557535226 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1175 Denton St, Beaumont, TX 77707-3913 | 4098423120 | SENIOR PSYCHOLOGICAL CARE I LLC |
| 470 Moore Dr, Vidor, TX 77662-3843 | 4097692454 | SENIOR PSYCHOLOGICAL CARE I LLC |
| Organization Legal Name | SENIOR PSYCHOLOGICAL CARE I LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Korn | Clinical Social Worker | Senior Psychological Care I LLC | 411 E Collard St, Madisonville, TX 77864-3306 |
| Jannette Cross | Psychologist, Clinical | Senior Psychological Care I LLC | 2628 Milam St, Huntsville, TX 77340-6615 |
| Paul David Wadler | Psychologist, Clinical | Senior Psychological Care I LLC | 700 12th St, Bay City, TX 77414-2904 |
| Rosa Macklin-hinkle | Psychologist, Clinical | Senior Psychological Care I LLC | 23450 Pine Shadows Ln, Porter, TX 77365-6420 |
| Adia Nishati Naba | Clinical Social Worker | Senior Psychological Care I LLC | 101 Woodland Park Dr, Woodland Park, Shepherd, TX 77371-6497 |
| La Shaun Arzu | Clinical Psychologist | Senior Psychological Care I LLC | 13825 Lexington Blvd, Sugar Land, TX 77478-5364 |
| Diane Schaefer | Clinical Social Worker | Senior Psychological Care I LLC | 13631 Ardfield Dr, Houston, TX 77070-5837 |
| Traci A Kramer Dudley | Psychologist, Clinical | Senior Psychological Care I LLC | 1302 Nottingham St, Huntsville, TX 77340-5622 |
| Irma S Beltran | Psychologist, Clinical | Senior Psychological Care I LLC | 2121 Pinegate Dr, Houston, TX 77008-1388 |
| Leslie L Crossman | Psychologist, Clinical | Senior Psychological Care I LLC | 11902 Resource Pkwy, Houston, TX 77089-6086 |
| Street Address |
470 MOORE DR |
| City | VIDOR |
| State | TX |
| Zip | 77662-3843 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Clark | Nurse Practitioner | Diagnostic Group Integrated Healthcare System, Pllc | 2353 N Main St, Diag Grp Vidor Fam Clin, Vidor, TX 77662-2610 |
| Suhani M Bhakta | Family Medicine | Diagnostic Group Integrated Healthcare System, Pllc | 2353 N Main St, Diag Grp Vidor Fam Clin, Vidor, TX 77662-2610 |
| Jason M Holmes | Chiropractic | 2612 N Main, Vidor, TX 77662-2674 | |
| Duncan G Bowell | Family Medicine | 1091 N Main St, B, Vidor, TX 77662-4360 | |
| Brooke Ann Manuel | Nurse Practitioner | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| James L Slayton Jr. | Internal Medicine | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| Sei C Oh | General Practice | Winnie Community Hospital, LLC | 515 S Archie St, Vidor, TX 77662-4868 |
| Christopher E Quirante | Physician Assistant | Michael K Crossley, M D P A | 395 N Main St, Vidor, TX 77662-4935 |
| Michael K Crossley | Emergency Medicine | Michael K Crossley, M D P A | 395 N Main St, Vidor, TX 77662-4935 |
| Waylon C Bergeron | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 225 S Main St, Oakwood Manor Nursing Home, Vidor, TX 77662-5745 |
| Find all physicians in zip 77662 | |||
| City | VIDOR |
| Zip Code | 77662 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | VIDOR + PSYCHOLOGIST, CLINICAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.