MEDICARE: SHANNON ASHLEY PEELMAN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	024053	NY

General Provider Information

NPI Number	:	1366006033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON ASHLEY PEELMAN PA-C

Provider Business Mailing Address
First Line	:	61 DELANO ST
Second Line	:
City	:	PULASKI
State	:	NY
Zip	:	13142-1400
Country	:	US
Telephone Number	:	315-298-6564
Fax Number	:	315-298-7488

Provider Business Practice Location Address
First Line	:	510 S 4TH ST
Second Line	:
City	:	FULTON
State	:	NY
Zip	:	13069-2951
Country	:	US
Telephone Number	:	315-598-4790
Fax Number	:	315-593-6195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2019
Last Update Date	:	03/11/2025

Similar Medicare Providers

1285639625 — OSWEGO HEALTH HOME CARE LLC..
Practice Location Address:

510 S 4TH ST
FULTON, NY
13069-2951

Practice Phone: 315-598-1544
Practice Fax:

1922746551 — RACHEL LUBINGA
Practice Location Address:

510 S 4TH ST
FULTON, NY
13069-2951

Practice Phone: 315-592-3510
Practice Fax:

1780317263 — REBEKAH JUNE BRAUNLICH PHYSICIAN ASSISTANT
Practice Location Address:

510 S 4TH ST
FULTON, NY
13069-2951

Practice Phone: 315-592-3510
Practice Fax:

1427049162 — DR. FELISA PADUA TACATA M.D.
Practice Location Address:

2951 FULTON AVE
SACRAMENTO, CA
95821-4909

Practice Phone: 916-486-7555
Practice Fax: 916-486-7557

1891773834 — MR. ANTONIO ZAMBOANGA LUZA PA-C
Practice Location Address:

2951 FULTON AVE
SACRAMENTO, CA
95821-4909

Practice Phone: 916-486-7555
Practice Fax: 916-486-7557

1477581106 — JANAK KUMAR MEHTANI M.D.
Practice Location Address:

2951 FULTON AVE
SACRAMENTO, CA
95821-4909

Practice Phone: 916-486-7555
Practice Fax: 916-486-7557

Directions to “ SHANNON ASHLEY PEELMAN PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.