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Shawnna Minnette Hampton

Internal Medicine

Allopathic & Osteopathic Physicians

2900 N Military Trl, Ste 245, Boca Raton, FL 33431-6365

PECOS Enrollment

This provider is enrolled in PECOS as SHAWNNA HAMPTON.

Based on the most recent information from CMS, provider Shawnna Minnette Hampton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1336155217
Provider Type
Individual
Full Name
Hampton, Shawnna Minnette
Title
Dr.
Credential
DO

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/31/2006
Last Updated
10/17/2013

Contact Information

Practice Location

2900 N Military Trl, Ste 245, Boca Raton, FL 33431-6365

(561) 289-9467

(561) 826-8971

Mailing Location

PO Box 970154, Boca Raton, FL 33497-0154

(561) 289-9467

(561) 826-8971

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License OS9304 Florida

Provider Identifiers

ID	Description	Issuer
ID 276068100	Description Medicaid	Issuer Unlisted Florida

Shawnna Minnette Hampton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Klein, Aaron

Mascarenhas Noble, Anjali Mary

Torres, David Alexander

Joel I Silverman Do, Pa

Your House Call Pcp

Shook, Michael Roy

Shawnna M Hampton Do Pllc

Sule, Sachin

Rubin Clinic Inc

Mendelsohn, Benjamin