Dr Tim Paul Shannon, ND is a
General Practice physician based in Tumwater, Washington. Dr Tim Paul Shannon is licensed to practice in Washington (license number NT60332027) and his current practice location is 205 Clark Pl Se, Tumwater, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 570-0401.
NPI number for Dr Tim Paul Shannon is 1023263027 and his current mailing address is 205 Clark Pl Se, Tumwater, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023263027.
Physician's Profile
| Full Name | Dr Tim Paul Shannon |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 205 Clark Pl Se, Tumwater, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023263027
- Provider Enumeration Date: 11/19/2008
- Last Update Date: 03/14/2014
Medical Identifiers
Medical identifiers for Dr Tim Paul Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023263027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | NT60332027 (Washington) | Primary |
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 Tim Paul Shannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tim Paul Shannon, ND
205 Clark Pl Se,
Tumwater, WA 98501-4062
Ph: (360) 570-0401 | Dr Tim Paul Shannon, ND
205 Clark Pl Se,
Tumwater, WA 98501-4062
Ph: (360) 570-0401 |
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