Angela P Shannon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Palmetto, Georgia. Her current practice location is
507 Park St, Palmetto, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 463-4644.
Angela P Shannon is licensed to practice in Georgia (license number 036661) 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 1285707455.
Physician's Profile
Full Name | Angela P Shannon |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 507 Park St, Palmetto, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285707455
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 05/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739254061
- Enrollment ID: I20080820000507
Medical Identifiers
Medical identifiers for Angela P Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285707455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036661 (Georgia) | 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. Angela P Shannon allows following entities to bill medicare on her behalf.
Entity Name | Department Of Behavioral Health And Developmental Disabilities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
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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. Angela P 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 |
Angela P Shannon, MD 2099 Fairburn Rd Sw, Atlanta, GA 30331-4812 Ph: (404) 344-0618 | Angela P Shannon, MD 507 Park St, Palmetto, GA 30268-1007 Ph: (770) 463-4644 |
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