Dr Shannon Moffett, MD - Medicare Emergency Medicine in Newark, NJ

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Dr Shannon Moffett, MD is a medicare enrolled "Emergency Medicine" physician in Newark, New Jersey. Her current practice location is 150 Bergen St, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 972-5128.

Dr Shannon Moffett is licensed to practice in New Jersey (license number 25MA09979800) 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 1306085444.

Contact Information

Dr Shannon Moffett, MD
150 Bergen St,
Newark, NJ 07103-2496
(973) 972-5128
(973) 972-6646

Map and Direction




Physician's Profile

Full NameDr Shannon Moffett
GenderFemale
SpecialityEmergency Medicine
Location150 Bergen St, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306085444
  • Provider Enumeration Date: 02/12/2009
  • Last Update Date: 04/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325199524
  • Enrollment ID: I20170413001670

Medical Identifiers

Medical identifiers for Dr Shannon Moffett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306085444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A104212 (California)Secondary
207P00000XEmergency Medicine 25MA09979800 (New Jersey)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 Moffett allows following entities to bill medicare on her behalf.
Entity NameUniversity Physician Associates Of New Jersey Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639189236
PECOS PAC ID: 9830003417
Enrollment ID: O20040301000906

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 Moffett 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 AddressPractice Location Address
Dr Shannon Moffett, MD
150 Bergen St,
Newark, NJ 07103-2496

Ph: (973) 972-5128		Dr Shannon Moffett, MD
150 Bergen St,
Newark, NJ 07103-2496

Ph: (973) 972-5128

Reviews and Comments


Emergency Medicine Doctors in Newark, NJ

Dr. Larissa Sophia Dudley, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 Lyons Ave, Suite D11, Newark, NJ 07112
Phone: 973-926-6671    
Dr. Charles Fleischner, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Bergen St, Admc 1110, Newark, NJ 07107
Phone: 973-972-9261    
Allen Judah Srulowitz, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102
Phone: 973-877-5500    
Dr. Christopher Delmaestro, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-6671    
Albert David Della Fave, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 150 Bergen St, Rutgers University Hospital Emergency Dept., Newark, NJ 07103
Phone: 973-972-5123    
Brian Joseph Kenny,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 150 Bergen St, Newark, NJ 07103
Phone: 862-241-5729    
Dr. Pidok Thepmankorn, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 495 N 13th St, Newark, NJ 07107
Phone: 973-268-1400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.