Dr Shanon Robert Ray, DC is a medicare enrolled "Chiropractor" provider in East Grand Forks, Minnesota. His current practice location is
418 Demers Ave, East Grand Forks, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 773-8403.
Dr Shanon Robert Ray is licensed to practice in Minnesota (license number 3582) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164603833.
Healthcare Provider's Profile
| Full Name | Dr Shanon Robert Ray |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 418 Demers Ave, East Grand Forks, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shanon Robert Ray attended and graduated from in
NPI Data:
- NPI Number: 1164603833
- Provider Enumeration Date: 11/21/2007
- Last Update Date: 11/21/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shanon Robert Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164603833 | NPI | - | NPPES |
| 22582 | Other | ND | BC/BS |
| 2086882400 | Medicaid | MN | |
| 12129 | Medicaid | ND | |
| 71D82RA | Other | MN | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3582 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shanon Robert Ray is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shanon Robert Ray, DC
418 Demers Ave,
East Grand Forks, MN 56721-1836
Ph: (218) 773-8403 | Dr Shanon Robert Ray, DC
418 Demers Ave,
East Grand Forks, MN 56721-1836
Ph: (218) 773-8403 |
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