Dr Shannon Foster, MD is a medicare enrolled "Family Medicine" physician in Decherd, Tennessee. Her current practice location is
2008 Decherd Blvd, Decherd, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 967-0931.
Dr Shannon Foster is licensed to practice in Tennessee (license number 62357) 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 1174849889.
Physician's Profile
| Full Name | Dr Shannon Foster |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 2008 Decherd Blvd, Decherd, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174849889
- Provider Enumeration Date: 04/20/2010
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931432069
- Enrollment ID: I20220603001318
Medical Identifiers
Medical identifiers for Dr Shannon Foster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174849889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 62357 (Tennessee) | 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 Foster allows following entities to bill medicare on her behalf.
| Entity Name | Amg-southern Tennessee Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206 |
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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 Foster 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 Foster, MD
2008 Decherd Blvd,
Decherd, TN 37324-3818
Ph: (931) 967-0931 | Dr Shannon Foster, MD
2008 Decherd Blvd,
Decherd, TN 37324-3818
Ph: (931) 967-0931 |
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