Bethany R Shanku (NPI# 1851581573, PAC ID# 2860585130) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1851581573 |
| PAC ID by PECOS | 2860585130 |
| Professional Enrollment ID | I20161102002301 |
| Full Name | Bethany R Shanku |
| Organization Legal Name | MICHIGAN NEUROLOGY ASSOCIATES PC |
| Address |
34025 Harper Ave Clinton Township MI 48035-3737 |
| Phone Number | 5864459900 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628987468 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230227 | MCLAREN MACOMB |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 34025 Harper Ave, Clinton Township, MI 48035-3737 | 5864459900 | MICHIGAN NEUROLOGY ASSOCIATES PC |
| 22101 Moross Rd, Detroit, MI 48236-2148 | 3133434000 | MICHIGAN NEUROLOGY ASSOCIATES PC |
| 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 3133431000 | MICHIGAN NEUROLOGY ASSOCIATES PC |
| 1000 Harrington St, Mount Clemens, MI 48043-2920 | 5864938000 | MICHIGAN NEUROLOGY ASSOCIATES PC |
| Organization Legal Name | MICHIGAN NEUROLOGY ASSOCIATES PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Jacob Thain | Psychologist, Clinical | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Stephanie M Anselmi | Physician Assistant | Michigan Neurology Associates PC | 19699 E 8 Mile Rd, Saint Clair Shores, MI 48080-1655 |
| Bradley G Jones | Physician Assistant | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| James M Voci | Neurology | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Reem Toma | Neurology | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Debra E Evola | Physician Assistant | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Christine D Liff | Psychologist, Clinical | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| James E Clinton | Internal Medicine | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| George M Dillon | Neurology | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Marcia Camero | Nurse Practitioner | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Street Address |
34025 HARPER AVE |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48035-3737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Jacob Thain | Psychologist, Clinical | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Bradley G Jones | Physician Assistant | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| James M Voci | Neurology | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Reem Toma | Neurology | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Debra E Evola | Physician Assistant | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Christine D Liff | Psychologist, Clinical | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| James E Clinton | Internal Medicine | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| George M Dillon | Neurology | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Marcia Camero | Nurse Practitioner | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Jessica Vettraino | Nurse Practitioner | Michigan Neurology Associates PC | 34025 Harper Ave, Clinton Township, MI 48035-3737 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nimmy Varughese | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Beth A Buchanan | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Carolyn Kessler-sprott | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Mary G Shenouda | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Chakradhar C Reddy | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Ghanshyam N Patel | Gastroenterology | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Jagatbhai A Amin | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Donna M Kelly | Chiropractic | 36410 Garfield Rd, Clinton Township, MI 48035-1131 | |
| Craig E Riffel | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Christopher Brioc | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Find all physicians in zip 48035 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CLINTON TOWNSHIP + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bethany R Shanku.
| 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.