Dr Shannon Charisse Gilham, DO in Willoughby, OH - Medicare Obstetrics/gynecology

Dr Shannon Charisse Gilham, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Willoughby, Ohio. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Lake Hospital System, Inc. and her current practice location is 4176 State Route 306, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 918-4630.

Dr Shannon Charisse Gilham is licensed to practice in Virginia (license number 0102202019) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508074931.

Contact Information

	Dr Shannon Charisse Gilham, DO
	4176 State Route 306, Willoughby, OH 44094
	(440) 918-4630
	(440) 918-4632

Map and Direction

Physician's Profile

Full Name	Dr Shannon Charisse Gilham
Gender	Female
Speciality	Obstetrics/gynecology
Experience	21 Years
Location	4176 State Route 306, Willoughby, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shannon Charisse Gilham graduated from medical school in 2003

NPI Data:

NPI Number: 1508074931
Provider Enumeration Date: 05/18/2007
Last Update Date: 03/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2163510116
Enrollment ID: I20151023001892

Medical Identifiers

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

Identifier	Type	State	Issuer
1508074931	NPI	-	NPPES
1508074931	Other	VA	BCBS
1508074931	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	0102202019 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Health	Concord, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Hospital System, Inc.	6002713922	137

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 Shannon Charisse Gilham allows following entities to bill medicare on her behalf.

Entity Name	Lake Hospital System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963

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 Shannon Charisse Gilham 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 Shannon Charisse Gilham, DO 7590 Auburn Road, Suite 014, Attn: Med Staff, Concord Twp, OH 44077-9176 Ph: (440) 354-1899	Dr Shannon Charisse Gilham, DO 4176 State Route 306, Willoughby, OH 44094 Ph: (440) 918-4630

Reviews and Comments

Obstetrics & Gynecology Doctors in Willoughby, OH

Janie M Zart, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4610
Thomesha Marie Barton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4632
Liese K Vito, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4654
Cynthia R Boes, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4612
Dr. Rebecca Elizabeth Crockett, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Road, Suite 201, Willoughby, OH 44094 Phone: 440-602-6710 Fax: 440-269-8107
Wendy J Clinger, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4176 State Route 306, Willoughby, OH 44094 Phone: 440-918-4630 Fax: 440-918-4610

Dr Shannon Charisse Gilham, DO - Medicare Obstetrics/gynecology in Willoughby, OH