Shenna Haila Bannish, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Harpswell, ME
NPI 1740860477 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1740860477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 12 Aucocisco LN
Harpswell, ME 04079-4261 - Phone
- (413) 454-7897
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210719003437 | MA | Order and Referring Only - Pediatric Medicine |
2062815707 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
12 Aucocisco LN
Harpswell, ME 04079-4261
Mailing address
12 Aucocisco LN
Harpswell, ME 04079-4261
Phone (413) 454-7897
Other providers in Harpswell, ME
- A. M. Longley Health Center
- Am Longley Health Center PC
- Abby Rose Caron
- Cundy'S Harbor Volunteer Fire Department, Inc.
- William Charles Daly
- Margaret Louise Daros
- Heather M Dick
All providers in Harpswell, ME · Student in an Organized Health Care Education/Training Program in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.