Dr Shanon Robert Ray, DC is a medicare enrolled "Chiropractor" provider in East Grand Forks, Minnesota. He went to Northwestern College Of Chiropractic and graduated in 1997 and has 27 years of diverse experience with area of expertise as Chiropractic. 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 | Chiropractic |
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| Experience | 27 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 Northwestern College Of Chiropractic in 1997
NPI Data:
- NPI Number: 1164603833
- Provider Enumeration Date: 11/21/2007
- Last Update Date: 11/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 5395835987
- Enrollment ID: I20071219000710
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 Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shanon Robert Ray allows following entities to bill medicare on his behalf.
| Provider Name | Ray Chiropractic Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811076086
PECOS PAC ID: 6103916796
Enrollment ID: O20071219000719 |
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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 |
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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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