Shane C Hernesman (NPI# 1952412652, PAC ID# 0749386811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952412652 |
| PAC ID by PECOS | 0749386811 |
| Professional Enrollment ID | I20070507000212 |
| Full Name | Shane C Hernesman |
| Address |
1980 N Atlantic Ave Suite 602 Cocoa Beach FL 32931-3224 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 1980 N Atlantic Ave, Suite 602, Cocoa Beach, FL 32931-3224 |
| Street Address |
1980 N ATLANTIC AVE SUITE 602 |
| City | COCOA BEACH |
| State | FL |
| Zip | 32931-3224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin W Smallwood | Dermatology | 1980 N Atlantic Ave, Suite 722, Cocoa Beach, FL 32931-3275 | |
| Deborah L Shannon | Clinical Social Worker | 1980 N Atlantic Ave, Suite 515, Cocoa Beach, FL 32931-3273 | |
| Donald A Stewart | Psychologist, Clinical | 1980 N Atlantic Ave, Suite 501, Cocoa Beach, FL 32931-3273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Taylor | Dermatology | Florida Dermatology Associates Inc | 80 Woodland Ave, Cocoa Beach, FL 32931-2854 |
| Lauren E Romeo | Undersea and Hyperbaric Medicine | 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881 | |
| Joseph Llinas | Psychiatry | 465 Minutemen Cswy, Suite 485, Cocoa Beach, FL 32931-2881 | |
| Santiago M Leyte-vidal Jr. | Internal Medicine | 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881 | |
| Teresa S Fagan | Internal Medicine | Sunshine Healthcare Solutions Inc | 465 Minutemen Cswy, Suite 455, Cocoa Beach, FL 32931-2881 |
| Steven Alukonis | Chiropractic | 299 N Orlando Ave A, Cocoa Beach, FL 32931-2916 | |
| Janaina Strater | Chiropractic | Joseph J Strater Dc LLC | 309 N Orlando Ave, Cocoa Beach, FL 32931-2918 |
| Joseph Strater | Chiropractic | Joseph J Strater Dc LLC | 309 N Orlando Ave, Cocoa Beach, FL 32931-2918 |
| Daniel L Sickels | Chiropractic | 503 N Orlando Ave, Suite 105, Cocoa Beach, FL 32931-3171 | |
| Orland Kay Armstrong Iii | Chiropractic | 1401 N Atlantic Ave, Cocoa Beach, FL 32931-3204 | |
| Find all physicians in zip 32931 | |||
| City | COCOA BEACH |
| Zip Code | 32931 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COCOA BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane C Hernesman.
| 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.