Shannon Marie Bagnasco (NPI# 1235554510, PAC ID# 9638301351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235554510 |
| PAC ID by PECOS | 9638301351 |
| Professional Enrollment ID | I20181112002595 |
| Full Name | Shannon Marie Bagnasco |
| Organization Legal Name | ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION |
| Address |
500 La Terraza Blvd Suite 320 Escondido CA 92025-3875 |
| Phone Number | 8446681926 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971880055 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 | 8446681926 | ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION |
| 27720 Jefferson Ave, Suite 200, Temecula, CA 92590-2630 | 7607963758 | ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION |
| Organization Legal Name | ELIZABETH SUPPORTIVE MEDICAL SPECIALISTS, A MEDICAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurence Boggeln | Family Medicine | Elizabeth Supportive Medical Specialists, A Medical Corporation | 27720 Jefferson Ave, Suite 200, Temecula, CA 92590-2630 |
| Glenn M Panzer | Hospice/palliative Care | Elizabeth Supportive Medical Specialists, A Medical Corporation | 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 |
| Eric Michael Emont | Geriatric Medicine | Elizabeth Supportive Medical Specialists, A Medical Corporation | 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 |
| Joann M Adams | Nurse Practitioner | Elizabeth Supportive Medical Specialists, A Medical Corporation | 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 |
| Street Address |
500 LA TERRAZA BLVD SUITE 320 |
| City | ESCONDIDO |
| State | CA |
| Zip | 92025-3875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn M Panzer | Hospice/palliative Care | Elizabeth Supportive Medical Specialists, A Medical Corporation | 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 |
| Eric Michael Emont | Geriatric Medicine | Elizabeth Supportive Medical Specialists, A Medical Corporation | 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 |
| Joann M Adams | Nurse Practitioner | Elizabeth Supportive Medical Specialists, A Medical Corporation | 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 |
| Pacita G Atkinson | Nurse Practitioner | Elizabeth Supportive Medical Specialists | 500 La Terraza Blvd, Suite 320, Escondido, CA 92025-3875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory A Langford | Obstetrics/gynecology | 488 E Vly Pky, Suite 107, Escondido, CA 92025 | |
| Nancy P Chen | Dermatology | Escondido Dermatology Inc A Professional Corporation | 504 W Mission Ave, Suite 101, Escondido, CA 92025-1603 |
| Katherine Ferris | Dermatology | Escondido Dermatology Inc A Professional Corporation | 504 W Mission Ave, Suite 101, Escondido, CA 92025-1603 |
| Anna G Keys | Chiropractic | 240 W Mission Ave C, Escondido, CA 92025-1700 | |
| Scott M Karges | Chiropractic | 260 W Crest, Suite B, Escondido, CA 92025-1716 | |
| Rachel P Ross | Psychiatry | Mental Health Systems, Inc. | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1721 |
| Marita G Dailo | Nurse Practitioner | Mental Health Systems, Inc. | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1721 |
| John G Donnelly | Psychiatry | Mental Health Systems, Inc. | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1721 |
| Amy R Dewar | Psychiatry | Mental Health Systems, Inc. | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1721 |
| Michael G Essex | Psychiatry | Mental Health Systems, Inc. | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1721 |
| Find all physicians in zip 92025 | |||
| City | ESCONDIDO |
| Zip Code | 92025 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ESCONDIDO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon Marie Bagnasco.
| 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.