Shannon K Bentley (NPI# 1033179817, PAC ID# 2264489376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033179817 |
| PAC ID by PECOS | 2264489376 |
| Professional Enrollment ID | I20170120002655 |
| Full Name | Shannon K Bentley |
| Organization Legal Name | ST ELIZABETH MEDICAL CENTER, INC |
| Address |
1 Medical Village Dr Edgewood KY 41017-3403 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648174623 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Village Dr, Edgewood, KY 41017-3403 | ST ELIZABETH MEDICAL CENTER, INC | |
| 413 S Loop Rd, Edgewood, KY 41017-5446 | 8593013800 | ST ELIZABETH MEDICAL CENTER, INC |
| 483 S Loop Rd, Edgewood, KY 41017-5446 | 8593442000 | ST ELIZABETH MEDICAL CENTER, INC |
| Organization Legal Name | ST ELIZABETH MEDICAL CENTER, INC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin Marie Pielage | Nurse Practitioner | St Elizabeth Medical Center, Inc | 20 Medical Village Dr, Edgewood, KY 41017-5401 |
| James Hahn | Pediatric Medicine | St Elizabeth Medical Center, Inc | 10095 Investment Way, Suite 1, Florence, KY 41042-4746 |
| Holly Danneman | Family Medicine | St Elizabeth Medical Center, Inc | 413 S Loop Rd, Edgewood, KY 41017-5446 |
| Karl M Schmitt | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Victor Schmelzer | Cardiac Surgery | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Colleen Marie Darnell | Hematology/oncology | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Mary A Barnes | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Jennifer L White | Nurse Practitioner | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Rasha Salama | Pathology | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Lauren Ashley Lenhoff | Nurse Practitioner | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
1 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip | 41017-3403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon A Cowan | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Maggie A Raskin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group Practice Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Karl M Schmitt | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Victor Schmelzer | Cardiac Surgery | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Alice Roberta Hall | Internal Medicine | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Kenneth K Dean | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group Practice Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| John F Wellbrock | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group Practice Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Richard Larry Gaston | Hospitalist | Summit Medical Group, Inc. | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Colleen Marie Darnell | Hematology/oncology | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Mary A Barnes | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | EDGEWOOD |
| Zip Code | 41017 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EDGEWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shannon K Bentley.
| 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.