Karin Shannon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eagle River, Alaska. Her current practice location is
16941 N Eagle River Loop Rd, Eagle River, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 406-7707.
Karin Shannon is licensed to practice in * (Not Available) (license number ) 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 1679185011.
Healthcare Provider's Profile
| Full Name | Karin Shannon |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 16941 N Eagle River Loop Rd, Eagle River, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679185011
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981140639
- Enrollment ID: I20240718002244
Medical Identifiers
Medical identifiers for Karin Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679185011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 196321 (Alaska) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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. Karin 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 |
|---|
Karin Shannon, LCSW
19332 War Admiral Rd,
Eagle River, AK 99577-8482
Ph: (417) 793-2396 | Karin Shannon, LCSW
16941 N Eagle River Loop Rd,
Eagle River, AK 99577-7824
Ph: (907) 406-7707 |
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