Dr Shannon Dobbs, DO is a medicare enrolled "Emergency Medicine" physician in Ackerman, Mississippi. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Choctaw Regional Medical Center and her current practice location is
8613 Ms Highway 12, Ackerman, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 285-4400.
Dr Shannon Dobbs is licensed to practice in Mississippi (license number 22916) 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 1295099455.
Physician's Profile
| Full Name | Dr Shannon Dobbs |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 13 Years |
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| Location | 8613 Ms Highway 12, Ackerman, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shannon Dobbs attended and graduated from Philadelphia College Of Osteopathic Medicine in 2011
NPI Data:
- NPI Number: 1295099455
- Provider Enumeration Date: 07/02/2012
- Last Update Date: 01/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395966121
- Enrollment ID: I20141021000806
Medical Identifiers
Medical identifiers for Dr Shannon Dobbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295099455 | NPI | - | NPPES |
| 01975826 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | DO.1681 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | DO.1681 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 22916 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | 22916 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Choctaw Regional Medical Center | 2567682206 | 36 |
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 Dobbs allows following entities to bill medicare on her behalf.
| Entity Name | Pontotoc Health Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821103516
PECOS PAC ID: 6002895356
Enrollment ID: O20040719001336 |
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| Entity Name | Choctaw Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235547878
PECOS PAC ID: 2567682206
Enrollment ID: O20141215002502 |
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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 Dobbs 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 Dobbs, DO
110 Whitney Cir,
Vincent, AL 35178-9464
Ph: () - | Dr Shannon Dobbs, DO
8613 Ms Highway 12,
Ackerman, MS 39735-8917
Ph: (662) 285-4400 |
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