Dr William R Shannon, MD in Portsmouth, VA - Student in an Organized Health Care Education/Training Program

Dr William R Shannon, MD - Student in an Organized Health Care Education/Training Program in Portsmouth, VA

Dr William R Shannon, MD is a Student In An Organized Health Care Education/training Program physician based in Portsmouth, Virginia. Dr William R Shannon is licensed to practice in Virginia (license number 0101270192) and his current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. He can be reached at his office (for appointments etc.) via phone at (757) 953-3238.

NPI number for Dr William R Shannon is 1174081707 and his current mailing address is 1355 Helicopter Rd, Virginia Beach, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174081707.

Contact Information

	Dr William R Shannon, MD
	620 John Paul Jones Cir, Portsmouth, VA 23708-2111
	(757) 953-3238
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr William R Shannon
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1174081707
Provider Enumeration Date: 03/02/2019
Last Update Date: 07/05/2023

Medical Identifiers

Medical identifiers for Dr William R Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174081707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101270192 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	0101270192 (Virginia)	Primary
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	0101270192 (Virginia)	Secondary

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 William R 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 William R Shannon, MD 1355 Helicopter Rd, Virginia Beach, VA 23459-8937 Ph: () -	Dr William R Shannon, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-3238