Dr Shannon M Dawson-richardson, MD in Woodbridge, VA

Dr Shannon M Dawson-richardson, MD is a medicare enrolled "Pediatrics" physician in Woodbridge, Virginia. Her current practice location is 14139 Potomac Mills Rd, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 490-8400.

Dr Shannon M Dawson-richardson is licensed to practice in California (license number A83288) 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 1194796250.

Contact Information

	Dr Shannon M Dawson-richardson, MD
	14139 Potomac Mills Rd, Woodbridge, VA 22192-4644
	(703) 490-8400
	(703) 490-7635

Map and Direction

Physician's Profile

Full Name	Dr Shannon M Dawson-richardson
Gender	Female
Speciality	Pediatrics
Location	14139 Potomac Mills Rd, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194796250
Provider Enumeration Date: 01/27/2006
Last Update Date: 06/28/2021

Medicare PECOS Information:

PECOS PAC ID: 1254510563
Enrollment ID: I20110119000359

Medical Identifiers

Medical identifiers for Dr Shannon M Dawson-richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194796250	NPI	-	NPPES
A83288	Other	CA	MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A83288 (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 Shannon M Dawson-richardson allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 M Dawson-richardson 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 M Dawson-richardson, MD 8348 Argent Cir, Fairfax Station, VA 22039-3104 Ph: () -	Dr Shannon M Dawson-richardson, MD 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 Ph: (703) 490-8400

Reviews and Comments

Pediatrics Doctors in Woodbridge, VA

Paula A Labriola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647
Dr. Lisa A Pauls, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Road, Woodbridge, VA 22192 Phone: 703-490-7747 Fax: 703-490-7650
Joseph V Puglise, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647
Azka Sophie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-8400
Jocelyn D Trent, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 403, Woodbridge, VA 22191 Phone: 703-878-2233 Fax: 703-878-2254
Frances Marie Vega, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647
Erica Larae Wynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-7740

Dr Shannon M Dawson-richardson, MD - Medicare Pediatrics in Woodbridge, VA