Shannon Fistner, in Rancho Cordova, CA - Medicare Marriage & Family Therapist Provider

Shannon Fistner, is a medicare enrolled "Marriage & Family Therapist" provider in Rancho Cordova, California. Her current practice location is 2025 Aerojet Rd, Rancho Cordova, California. You can reach out to her office (for appointments etc.) via phone at (510) 299-0453.

Shannon Fistner is licensed to practice in California (license number 51992) 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 1356538920.

Contact Information

	Shannon Fistner,
	2025 Aerojet Rd, Rancho Cordova, CA 95742-6418
	(510) 299-0453
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Fistner
Gender	Female
Speciality	Marriage & Family Therapist
Location	2025 Aerojet Rd, Rancho Cordova, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356538920
Provider Enumeration Date: 09/27/2007
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1153766761
Enrollment ID: I20240305000943

Medical Identifiers

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

Identifier	Type	State	Issuer
1356538920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	51992 (California)	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. Shannon Fistner allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Shannon Fistner 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
Shannon Fistner, 2025 Aerojet Rd, Rancho Cordova, CA 95742-6418 Ph: (510) 299-0453	Shannon Fistner, 2025 Aerojet Rd, Rancho Cordova, CA 95742-6418 Ph: (510) 299-0453

Reviews and Comments

Marriage & Family Therapist in Rancho Cordova, CA

Mr. Ronnie Jerome Booker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2801 Aramon Dr, Rancho Cordova, CA 95670 Phone: 916-396-1208
Marlana Marie Pierson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 10421 Abington Way, Rancho Cordova, CA 95670 Phone: 916-400-0636
Mrs. Jennifer Lee Harrington, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2801 Aramon Dr, Rancho Cordova, CA 95670 Phone: 916-361-2089 Fax: 916-361-2091
Miss Janna M. Chin, MA, LMFT128905 Couples Therapy Medicare: Medicare Enrolled Practice Location: 3343 Capital Center Dr Ste 200, Rancho Cordova, CA 95670 Phone: 916-591-9057
Ms. Terri Lynn Ciochetti, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-2198
Leslie O'neill, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11121 Sun Center Dr Ste F, Rancho Cordova, CA 95670 Phone: 916-471-4566
Mrs. Anabel Basulto, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3343 Capital Center Dr Ste 200, Rancho Cordova, CA 95670 Phone: 669-699-2247

Shannon Fistner, - Medicare Couples Therapy in Rancho Cordova, CA