Dr Shannon Keith Twiddy, MD in Niles, MI - Medicare Family Practice

Dr Shannon Keith Twiddy, MD is a medicare enrolled "Family Medicine" physician in Niles, Michigan. He went to Northeastern Ohio University College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakeland Community Hospital Watervliet and his current practice location is 2002 S 11th St, Niles, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 687-0200.

Dr Shannon Keith Twiddy is licensed to practice in Michigan (license number 4301093962) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386899292.

Contact Information

	Dr Shannon Keith Twiddy, MD
	2002 S 11th St, Niles, MI 49120-4074
	(269) 687-0200
	(269) 471-7741

Map and Direction

Physician's Profile

Full Name	Dr Shannon Keith Twiddy
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	2002 S 11th St, Niles, Michigan
Accepts Medicare Assignments	Yes. He 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 Keith Twiddy attended and graduated from Northeastern Ohio University College Of Medicine in 1995

NPI Data:

NPI Number: 1386899292
Provider Enumeration Date: 11/19/2008
Last Update Date: 12/17/2013

Medicare PECOS Information:

PECOS PAC ID: 9830235738
Enrollment ID: I20091007000190

Medical Identifiers

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

Identifier	Type	State	Issuer
1386899292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9601201 (North Carolina)	Secondary
207Q00000X	Family Medicine	4301093962 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Hospital Watervliet	Watervliet, MI	Hospital
Lakeland Hospital, St Joseph	St joseph, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Community Hospital Watervliet	7416942750	50

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 Keith Twiddy allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Community Hospital Watervliet
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

Entity Name	Lakeland Community Hospital Watervliet
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202

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 Keith Twiddy 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 Keith Twiddy, MD 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200	Dr Shannon Keith Twiddy, MD 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200

Reviews and Comments

Family Medicine Doctors in Niles, MI

Rosa Lee Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388
Glenda M Gensolin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400
Elizabeth Ann Mcglothlin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199
Lindsey Kathryn Kinney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Longmeadow Village Drive, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388
James E Strycker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199
John W. Howard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388
Dr. Charles Andrew Mosimbwa, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 E Main St, Niles, MI 49120 Phone: 269-683-7411

Dr Shannon Keith Twiddy, MD - Medicare Family Practice in Niles, MI