Dr Evan Shannon, MD in Santa Monica, CA - Medicare Internal Medicine

Dr Evan Shannon, MD is a medicare enrolled "Internal Medicine" physician in Santa Monica, California. His current practice location is 2211 Michigan Ave, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (424) 259-8085.

Dr Evan Shannon is licensed to practice in California (license number A174141) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811378177.

Contact Information

	Dr Evan Shannon, MD
	2211 Michigan Ave, Santa Monica, CA 90404-3905
	(424) 259-8085
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Evan Shannon
Gender	Male
Speciality	Internal Medicine
Location	2211 Michigan Ave, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811378177
Provider Enumeration Date: 06/12/2015
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8123335775
Enrollment ID: I20180525001958

Medical Identifiers

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

Identifier	Type	State	Issuer
1811378177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A174141 (California)	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. Dr Evan Shannon allows following entities to bill medicare on his behalf.

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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 Evan 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
Dr Evan Shannon, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Dr Evan Shannon, MD 2211 Michigan Ave, Santa Monica, CA 90404-3905 Ph: (424) 259-8085

Reviews and Comments

Internal Medicine Doctors in Santa Monica, CA

Irawan Susanto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790
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Janet Winikoff, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165
Dr. Sean Dooley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745
Lorraine Anderson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599
Dr. Colleen Lucy Channick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939
Carol Yukiko Nishikubo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404 Phone: 310-453-5654 Fax: 310-453-6885

Dr Evan Shannon, MD - Medicare Internal Medicine in Santa Monica, CA