Dr Delphine K Shannon, MD is a
General Practice physician based in Gulfport, Mississippi. Dr Delphine K Shannon is licensed to practice in Mississippi (license number 18668) and her current practice location is 15429 Oneal Rd, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 206-0542.
NPI number for Dr Delphine K Shannon is 1609158260 and her current mailing address is 15429 Oneal Rd, Gulfport, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609158260.
Physician's Profile
Full Name | Dr Delphine K Shannon |
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Gender | Female |
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Speciality | General Practice |
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Location | 15429 Oneal Rd, Gulfport, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609158260
- Provider Enumeration Date: 09/09/2011
- Last Update Date: 09/06/2023
Medical Identifiers
Medical identifiers for Dr Delphine K Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609158260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083B0002X | Preventive Medicine - Obesity Medicine | 18668 (Mississippi) | Secondary |
2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 18668 (Mississippi) | Secondary |
208D00000X | General Practice | 18668 (Mississippi) | Primary |
171400000X | Health & Wellness Coach | 18668 (Mississippi) | Secondary |
174H00000X | Health Educator | 18668 (Mississippi) | Secondary |
202D00000X | Integrative Medicine | 18668 (Mississippi) | Secondary |
207QB0002X | Family Medicine - Obesity Medicine | 18668 (Mississippi) | Secondary |
207RB0002X | Internal Medicine - Obesity Medicine | 18668 (Mississippi) | Secondary |
2080B0002X | Pediatrics - Obesity Medicine | 18668 (Mississippi) | Secondary |
132700000X | Dietary Manager | 18668 (Mississippi) | Secondary |
133N00000X | Nutritionist | 18668 (Mississippi) | Secondary |
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 Delphine K Shannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Delphine K Shannon, MD 15429 Oneal Rd, Gulfport, MS 39503-2731 Ph: (228) 206-0542 | Dr Delphine K Shannon, MD 15429 Oneal Rd, Gulfport, MS 39503-2731 Ph: (228) 206-0542 |
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