Ms Shannon L Wilson, MS,RD - Medicare Dietitian in Williamsville, NY

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Ms Shannon L Wilson, MS,RD is a medicare enrolled "Dietitian, Registered" provider in Williamsville, New York. Her current practice location is 2801 Wehrle Dr Ste 4, Williamsville, New York. You can reach out to her office (for appointments etc.) via phone at (716) 626-7415.

Ms Shannon L Wilson 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 1336504141.

Contact Information

Ms Shannon L Wilson, MS,RD
2801 Wehrle Dr Ste 4,
Williamsville, NY 14221
(716) 626-7415
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Shannon L Wilson
GenderFemale
SpecialityDietitian, Registered
Location2801 Wehrle Dr Ste 4, Williamsville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336504141
  • Provider Enumeration Date: 12/21/2015
  • Last Update Date: 06/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648506949
  • Enrollment ID: I20190724002420

Medical Identifiers

Medical identifiers for Ms Shannon L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336504141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))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. Ms Shannon L Wilson allows following entities to bill medicare on her behalf.
Provider NameCustom Dietetics Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1063596880
PECOS PAC ID: 1456377738
Enrollment ID: O20051017000158

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. Ms Shannon L Wilson 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 AddressPractice Location Address
Ms Shannon L Wilson, MS,RD
2801 Wehrle Dr Ste 4,
Williamsville, NY 14221-7381

Ph: (716) 626-7415		Ms Shannon L Wilson, MS,RD
2801 Wehrle Dr Ste 4,
Williamsville, NY 14221

Ph: (716) 626-7415

Reviews and Comments


Dietitian, Registered in Williamsville, NY

Kelly B Flanagan, CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 295 Essjay Rd, Williamsville, NY 14221
Phone: 716-630-1245    Fax: 716-250-5977
Catherine Ayers,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 325 Essjay Rd, Williamsville, NY 14221
Phone: 716-630-1129    
Mrs. Dawn Renee Copperthite, RD,CDN
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 300 International Dr, Suite 100, Williamsville, NY 14221
Phone: 716-228-8163    Fax: 716-626-3416
Jenna Guadagna, RD, CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 300 International Dr Ste 100, Williamsville, NY 14221
Phone: 716-710-7022    
Mrs. Amy R Cefalu, M.S., R.D.,C.D.N.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 280 Spindrift Dr, Williamsville, NY 14221
Phone: 716-536-4788    
Julie Hawn, REGISTERED DIETITIAN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 5820 Main St Ste 503, Williamsville, NY 14221
Phone: 716-333-0161    
Sarah Lynn Hartman, RD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 325 Essjay Rd, Williamsville, NY 14221
Phone: 716-630-1129    Fax: 716-250-5990

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.