Shanon Dione Bennett, PA-C
Shanon Dione Bennett, PA-C is a Physician Assistant in Waterloo, Iowa. Qualified in 1995, 31 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa and North Carolina.
- Years since qualifying
- 31
- Licensed in
- IA, NC
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1731 W Ridgeway Ave Ste 100Waterloo, IA 50701-4591
Phone: (319) 833-5888
Fax: (319) 833-5891
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 001016 (IA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 001000136 (NC) |
Record details
| NPI number | 1013979079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | April 5, 2006 |
| Last updated in NPPES | July 21, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Group practice | Iowa Physicians Clinic Medical Foundation — 1242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Waterloo
-
Chelsey Elaine Ballard, PA-C
3840 W 9th St, Waterloo, IA 50702-5914 · (800) 485-5003
-
Gatbel Nyak Chamjock, PA
1825 Logan Ave, Waterloo, IA 50703 · (319) 235-3697
-
Paul David Shepard, PA-C
1825 Logan Ave, Waterloo, IA 50703-1916 · (319) 235-3941