Shannon M Mooney (NPI# 1487809083, PAC ID# 5991868515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1487809083 |
| PAC ID by PECOS | 5991868515 |
| Professional Enrollment ID | I20090108000273 |
| Full Name | Shannon M Mooney |
| Organization Legal Name | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Address |
13 Loder St Wellsville NY 14895-1112 |
| Phone Number | 5855931100 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012828486 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330096 | JONES MEMORIAL HOSPITAL |
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13 Loder St, Wellsville, NY 14895-1112 | 5855931100 | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| 15 Loder St, Wellsville, NY 14895-1112 | 5855931100 | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| 191 N Main St, Wellsville, NY 14895-1150 | 5855931100 | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Organization Legal Name | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Haring | Obstetrics/gynecology | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| David Roae | Nurse Practitioner | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 5877 Old State Rd, Belmont, NY 14813-9616 |
| Keith A Gembusia | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 120 1st St, Bolivar, NY 14715-1132 |
| April L Wesche | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Jennifer Middaugh | Certified Nurse Midwife (cnm) | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Andres I Rubert Jr. | Obstetrics/gynecology | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Du Van Nguyen | General Surgery | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Lu Ann Kaye | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Cortni Monroe | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 120 1st St, Bolivar, NY 14715-1132 |
| Steven M Collins | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Street Address |
13 LODER ST |
| City | WELLSVILLE |
| State | NY |
| Zip | 14895-1112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl A Patterson-reeves | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 13 Loder St, Wellsville, NY 14895-1112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lee Gunzburger | Chiropractic | 29 Martin St, Wellsville, NY 14895-1019 | |
| Heide K Crandall | General Surgery | 46 Martin St, Wellsville, NY 14895-1020 | |
| Reed P Haag | Internal Medicine | 238 N Main St, Wellsville, NY 14895-1046 | |
| Anthony M Marra IIi | Occupational Therapy | Nysarc Inc., Chemung County Chapter | 240 Oconnor St, Wellsville, NY 14895-1055 |
| Benjamin H Palmer Iv | Speech Language Pathologist | Nysarc Inc., Chemung County Chapter | 240 Oconnor St, Wellsville, NY 14895-1055 |
| Christopher R Depner | Family Medicine | 12 Martin St, Wellsville, NY 14895-1057 | |
| Robert J Maiden | Psychologist, Clinical | 12 Martin St, Wellsville, NY 14895-1057 | |
| Michael A Johnson | Ophthalmology | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Gary L Cook | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Jason D Sibble | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Find all physicians in zip 14895 | |||
| City | WELLSVILLE |
| Zip Code | 14895 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WELLSVILLE + PHYSICIAN ASSISTANT |
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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.