Mrs Shannon Mooney Wickman, RD, LDN, CSOWM - Medicare Dietitian in Kennebunk, ME

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Mrs Shannon Mooney Wickman, RD, LDN, CSOWM is a medicare enrolled "Dietitian, Registered - Nutrition, Obesity And Weight Management" provider in Kennebunk, Maine. Her current practice location is 72 Main St, Kennebunk, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 467-8825.

Mrs Shannon Mooney Wickman is licensed to practice in Maine (license number DI1082) 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 1356423024.

Contact Information

Mrs Shannon Mooney Wickman, RD, LDN, CSOWM
72 Main St,
Kennebunk, ME 04043-7021
(207) 467-8825
(207) 467-8811

Map and Direction




Healthcare Provider's Profile

Full NameMrs Shannon Mooney Wickman
GenderFemale
SpecialityDietitian, Registered - Nutrition, Obesity And Weight Management
Location72 Main St, Kennebunk, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356423024
  • Provider Enumeration Date: 10/20/2006
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042665051
  • Enrollment ID: I20231011002517

Medical Identifiers

Medical identifiers for Mrs Shannon Mooney Wickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356423024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 2439 (Massachusetts)Secondary
133VN1201XDietitian, Registered - Nutrition, Obesity And Weight Management DI1082 (Maine)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. Mrs Shannon Mooney Wickman allows following entities to bill medicare on her behalf.
Provider NameMainehealth
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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. Mrs Shannon Mooney Wickman 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
Mrs Shannon Mooney Wickman, RD, LDN, CSOWM
72 Main St,
Kennebunk, ME 04043-7021

Ph: (207) 467-8825		Mrs Shannon Mooney Wickman, RD, LDN, CSOWM
72 Main St,
Kennebunk, ME 04043-7021

Ph: (207) 467-8825

Reviews and Comments


Dietitian, Registered in Kennebunk, ME

Arianna Genevieve Bogucki, RD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 72 Main St, Kennebunk, ME 04043
Phone: 207-467-8826    
Sarah Lynn Loring,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2 Storer St Ste 403b, Kennebunk, ME 04043
Phone: 207-835-1566    
Sheila Ann Adams,
Dietitian
Medicare: Medicare Enrolled
Practice Location: 72 Main St, Kennebunk, ME 04043
Phone: 978-467-8856    
Mr. Kristopher Alan Haines Michaud, MS, RD, LD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 72 Main St, Kennebunk, ME 04043
Phone: 207-467-8810    Fax: 207-467-8811

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.