Regina Shannon, in Riverside, RI - Medicare Social Worker Provider

Regina Shannon, is a medicare enrolled "Social Worker - Clinical" provider in Riverside, Rhode Island. Her current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 432-1000.

Regina Shannon is licensed to practice in Rhode Island (license number ISW02919) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710376827.

Contact Information

	Regina Shannon,
	1011 Veterans Memorial Pkwy, Riverside, RI 02915
	(401) 432-1000
	(401) 432-1500

Map and Direction

Healthcare Provider's Profile

Full Name	Regina Shannon
Gender	Female
Speciality	Social Worker - Clinical
Location	1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710376827
Provider Enumeration Date: 01/13/2015
Last Update Date: 03/29/2019

Medicare PECOS Information:

PECOS PAC ID: 1951648385
Enrollment ID: I20190123003118

Medical Identifiers

Medical identifiers for Regina Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710376827	NPI	-	NPPES
GH57134	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW02919 (Rhode Island)	Primary
1041C0700X	Social Worker - Clinical	CSW1778 (Rhode Island)	Secondary

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. Regina Shannon allows following entities to bill medicare on her behalf.

Entity Name	Gateway Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066

Entity Name	Emma Pendleton Bradley Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082

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. Regina Shannon 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
Regina Shannon, 117 Ellenfield St Ste 101, Providence, RI 02905-4513 Ph: (401) 724-8400	Regina Shannon, 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Ph: (401) 432-1000

Reviews and Comments

Social Worker in Riverside, RI

Mollie Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Mrs. Catherine Lynn Brown, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Wampanoag Trl, Riverside, RI 02915 Phone: 401-431-9870 Fax: 401-435-7486
Samantha Rose Kavanagh, Licsw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Wampanoag Trl Unit 400, Riverside, RI 02915 Phone: 401-785-0040
Lilliane Joan Murgo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Jennifer W. Jencks, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Ms. Kendra O Macamaux, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Mica Hinga, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 185-554-3546

Regina Shannon, - Medicare Clinical Social Worker in Riverside, RI