Shannon Gray, MS, RD, LD in Paoli, PA - Medicare Dietitian, Registered Provider

Shannon Gray, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Paoli, Pennsylvania. Her current practice location is 12 Paoli Pike, Paoli, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 883-1786.

Shannon Gray is licensed to practice in Pennsylvania (license number DN006897) 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 1730730300.

Contact Information

	Shannon Gray, MS, RD, LD
	12 Paoli Pike, Paoli, PA 19301-1854
	(610) 883-1786
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Gray
Gender	Female
Speciality	Dietitian, Registered
Location	12 Paoli Pike, Paoli, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730730300
Provider Enumeration Date: 09/25/2019
Last Update Date: 09/25/2019

Medicare PECOS Information:

PECOS PAC ID: 4587001649
Enrollment ID: I20240325002542

Medical Identifiers

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

Identifier	Type	State	Issuer
1730730300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN006897 (Pennsylvania)	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 Gray allows following entities to bill medicare on her behalf.

Provider Name	Pcrm Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831516327 PECOS PAC ID: 7810207511 Enrollment ID: O20151110000107

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 Gray 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 Gray, MS, RD, LD 794 Three Fox Ln, West Chester, PA 19380-2015 Ph: (610) 883-1786	Shannon Gray, MS, RD, LD 12 Paoli Pike, Paoli, PA 19301-1854 Ph: (610) 883-1786

Reviews and Comments

Dietitian, Registered in Paoli, PA

Radana Remillard, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1440 Russell Rd, Paoli, PA 19301 Phone: 610-644-6464 Fax: 610-644-4066
Megan Robinson, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Pheasant Run Dr, Paoli, PA 19301 Phone: 610-283-9615
Sarah Lauren Snyder, RDN, CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 53 Darby Rd, Paoli, PA 19301 Phone: 610-644-5870 Fax: 610-647-3751
Wellness, Nutrition, & Education, Llc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 53 Darby Road, Paoli, PA 19301 Phone: 610-644-5870 Fax: 610-647-3751
Julie L Zimmerman, MA, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 53 Darby Rd, Paoli, PA 19301 Phone: 610-644-5870
Rachel L Petticord, BS, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1440 Russell Rd, Paoli, PA 19301 Phone: 610-644-6464 Fax: 610-644-4066
Caitlin Marie Morgan, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 53 Darby Rd, Paoli, PA 19301 Phone: 610-644-5870 Fax: 610-647-3751

Shannon Gray, MS, RD, LD - Medicare Dietitian in Paoli, PA