Dr Shannon Thomas Radgens, DO is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Owosso, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Memorial Hospital and his current practice location is
818 W King St, Suite 301, Owosso, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 729-4800.
Dr Shannon Thomas Radgens is licensed to practice in Michigan (license number 5101013241) 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 1316051949.
Physician's Profile
| Full Name | Dr Shannon Thomas Radgens |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 28 Years |
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| Location | 818 W King St, Owosso, Michigan |
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| Accepts Medicare Assignments | Yes. He 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 Thomas Radgens attended and graduated from Michigan State University College Of Osteopathic Medicine in 1996
NPI Data:
- NPI Number: 1316051949
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 02/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 8224000369
- Enrollment ID: I20040811000960
Medical Identifiers
Medical identifiers for Dr Shannon Thomas Radgens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316051949 | NPI | - | NPPES |
| 4616511 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 5101013241 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Memorial Hospital | 8527976497 | 172 |
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 Thomas Radgens allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235160532
PECOS PAC ID: 8527976497
Enrollment ID: O20040122000907 |
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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 Thomas Radgens 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 |
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Dr Shannon Thomas Radgens, DO
818 W King St, Suite 301,
Owosso, MI 48867-2116
Ph: (989) 729-4800 | Dr Shannon Thomas Radgens, DO
818 W King St, Suite 301,
Owosso, MI 48867-2116
Ph: (989) 729-4800 |
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