Shannon Blake in Wilmington, North Carolina

Home North Carolina Wilmington

Shannon Blake has Physician Assistant as her primary medical specialty. Their primary office is: 3205 Randall Pkwy in Wilmington, North Carolina.

They're a part of the: Lifesource Of North Carolina medical group which has around 143 members. You can call their office at 910-742-9243 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2006 (around 18 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.

Shannon Blake Office Phone and Directions

Shannon Blake
Lifesource Of North Carolina
3205 Randall Pkwy
Wilmington, North Carolina 28403
910-742-9243

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Phone: 910-742-9243

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Healthcare Info for Shannon Blake

Medical School: Sorry, her university is not listed
Graduation Year: 2006
The Primary Medical Specialty for Shannon Blake is listed as: Physician Assistant
Approximate Years of Experience: 18
PAC (PECOS ID)#: 6406943448
NPI #: 1578509238
NPI Created On: 06/21/2006
NPI Last Updated Listed as: 07/28/2011
Primary Taxonomy Code: 363A00000X
License Number:
001550
Listed Gender: Female

Procedures, Services, Charges

Services and Procedures include:

New patient office or other outpatient visit, typically 45 minutes
Established patient office or other outpatient, visit typically 25 minutes
Initial nursing facility visit, typically 35 minutes per day
Subsequent nursing facility visit, typically 25 minutes per day
New patient assisted living visit, typically 60 minutes
Established patient assisted living visit, typically 40 minutes
Telehealth originating site facility fee

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.

Payments Total: $33

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 844309073

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Ostomy Care

Name of Drug #1: SenSura Mio

Physician Assistant Professionals in Wilmington

1.
Darcy Burgard

2131 S 17th St
Wilmington, NC
Novant Health Medical Group Coastal Region Llc

2.
Alex Wignall

1202 Medical Ctr Dr
Wilmington, NC
Wilmington Health Pllc

3.
Alex Wignall

1222 Medical Ctr Dr
Wilmington, NC
Wilmington Health Pllc

4.
Cortis Bailey II PA

2131 S 17th St
Wilmington, NC
Ecep Ii Pa

5.
Emily Fisher

6019 Oleander Dr
Wilmington, NC
Emergeortho Pa

6.
Robert Hensler PA

4130 Oleander Dr
Wilmington, NC
Raleigh Neurosurgical Clinic, Inc.

Providers in Lifesource Of North Carolina

1.Shola Adewunmi

1345 Redmond Cir Nw
Rome Ga 30165-1307
Lifesource Of North Carolina
Nurse Practitioner

2.Erica Alford

3205 Randall Pkwy
Wilmington Nc 28403-2565
Lifesource Of North Carolina
Clinical Social Worker

3.Robert Anderson Cp

3205 Randall Pkwy
Wilmington Nc 28403-2565
Lifesource Of North Carolina
Clinical Psychologist

4.Alicia Baird

3205 Randall Pkwy
Wilmington Nc 28403-2565
Lifesource Of North Carolina
Nurse Practitioner

5.Aminata Barrie

1345 Redmond Cir Nw
Rome Ga 30165-1307
Lifesource Of North Carolina
Nurse Practitioner

6.Harold Bedu-addo

200 Nursing Home Ln
Pikeville Ky 41501-6896
Lifesource Of North Carolina
Nurse Practitioner

View all 143 members of Lifesource Of North Carolina medical group