Dr Clarence Shannon Iv, MD - Medicare Anesthesiology in Washington, DC

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Dr Clarence Shannon Iv, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Washington, District Of Columbia. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Fairview Express Care, University Anesthesia Providers Llc, University Of Minnesota Health Clinics And Surgery Center Inc and his current practice location is 6900 Georgia Ave, Nw , Ward 44, Wramc Department Of Surgery, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 782-0039.

Dr Clarence Shannon Iv is licensed to practice in Georgia (license number 044586) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851516165.

Contact Information

Dr Clarence Shannon Iv, MD
6900 Georgia Ave, Nw , Ward 44, Wramc Department Of Surgery,
Washington, DC 20307-5001
(202) 782-0039
Not Available

Map and Direction




Physician's Profile

Full NameDr Clarence Shannon Iv
GenderMale
SpecialityAnesthesiology
Experience34 Years
Location6900 Georgia Ave, Nw , Ward 44, Washington, District Of Columbia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Clarence Shannon Iv attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1851516165
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6204092208
  • Enrollment ID: I20170105001533

Medical Identifiers

Medical identifiers for Dr Clarence Shannon Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851516165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 044586 (Georgia)Primary
207LP2900XAnesthesiology - Pain Medicine 044586 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791537
University Anesthesia Providers Llc7315986064193
University Of Minnesota Health Clinics And Surgery Center Inc9133423304483

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. Dr Clarence Shannon Iv allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameUniversity Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699711143
PECOS PAC ID: 7315986064
Enrollment ID: O20050502000881
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. Dr Clarence Shannon Iv 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
Dr Clarence Shannon Iv, MD
3818 Montrose Driveway,
Chevy Chase, MD 20815-4702

Ph: (301) 656-8772		Dr Clarence Shannon Iv, MD
6900 Georgia Ave, Nw , Ward 44, Wramc Department Of Surgery,
Washington, DC 20307-5001

Ph: (202) 782-0039

Reviews and Comments


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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).

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