Shannon L Rakes (NPI# 1629403209, PAC ID# 2365765724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1629403209 |
| PAC ID by PECOS | 2365765724 |
| Professional Enrollment ID | I20141216002363 |
| Full Name | Shannon L Rakes |
| Organization Legal Name | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| Address |
1508 K V Rd Victoria VA 23974-2624 |
| Phone Number | 4346962165 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0648188755 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1508 K V Rd, Victoria, VA 23974-2624 | 4346962165 | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| Organization Legal Name | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Russell | Family Medicine | Southern Dominion Health System, Inc. | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 |
| Margaret K Inge | Family Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Lisa M York | Family Medicine | Southern Dominion Health System, Inc. | 1508 K V Rd, Victoria, VA 23974-2624 |
| Margaret R Campbell | Pediatric Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Fitzgerald Marcelin | Internal Medicine | Southern Dominion Health System, Inc. | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 |
| Hyo Kwon Park | Family Medicine | Southern Dominion Health System, Inc. | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 |
| John A Holland | Family Medicine | Southern Dominion Health System, Inc. | 1508 K V Rd, Victoria, VA 23974-2624 |
| Debra M Sequeira | Family Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Street Address |
1508 K V RD |
| City | VICTORIA |
| State | VA |
| Zip | 23974-2624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M York | Family Medicine | Southern Dominion Health System, Inc. | 1508 K V Rd, Victoria, VA 23974-2624 |
| John A Holland | Family Medicine | Southern Dominion Health System, Inc. | 1508 K V Rd, Victoria, VA 23974-2624 |
| City | VICTORIA |
| Zip Code | 23974 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | VICTORIA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Shannon L Rakes.
| 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.