Dr Shannon Denise Shea, MD in Jacksonville, FL

Dr Shannon Denise Shea, MD is a medicare enrolled "Pediatrics" physician in Jacksonville, Florida. Her current practice location is 3900 University Blvd S Ste 2, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 760-4940.

Dr Shannon Denise Shea is licensed to practice in Florida (license number ME130808) 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 1053638551.

Contact Information

	Dr Shannon Denise Shea, MD
	3900 University Blvd S Ste 2, Jacksonville, FL 32216-4331
	(904) 760-4940
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shannon Denise Shea
Gender	Female
Speciality	Pediatrics
Location	3900 University Blvd S Ste 2, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053638551
Provider Enumeration Date: 04/23/2010
Last Update Date: 01/25/2021

Medicare PECOS Information:

PECOS PAC ID: 7315291556
Enrollment ID: I20181107000919

Medical Identifiers

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

Identifier	Type	State	Issuer
1053638551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME130808 (Florida)	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 Shannon Denise Shea allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

Entity Name	Agape Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962867762 PECOS PAC ID: 3476500695 Enrollment ID: O20050331000177

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 Denise Shea 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 Denise Shea, MD 120 King St, Jacksonville, FL 32204-2410 Ph: (904) 760-4940	Dr Shannon Denise Shea, MD 3900 University Blvd S Ste 2, Jacksonville, FL 32216-4331 Ph: (904) 760-4940

Reviews and Comments

Pediatrics Doctors in Jacksonville, FL

Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994

Dr Shannon Denise Shea, MD - Medicare Pediatrics in Jacksonville, FL