Jacob Shannon, DO in Hershey, PA - Medicare Emergency Medicine

Jacob Shannon, DO is a medicare enrolled "Emergency Medicine" physician in Hershey, Pennsylvania. His current practice location is 500 University Dr, Hershey, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 531-8333.

Jacob Shannon is licensed to practice in Pennsylvania (license number OT012580) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053579292.

Contact Information

	Jacob Shannon, DO
	500 University Dr, Hershey, PA 17033-2360
	(717) 531-8333
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Shannon
Gender	Male
Speciality	Emergency Medicine
Location	500 University Dr, Hershey, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053579292
Provider Enumeration Date: 05/23/2008
Last Update Date: 06/02/2011

Medicare PECOS Information:

PECOS PAC ID: 4486815826
Enrollment ID: I20140416001643

Medical Identifiers

Medical identifiers for Jacob Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053579292	NPI	-	NPPES
1053579292	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OT012580 (Pennsylvania)	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. Jacob Shannon allows following entities to bill medicare on his behalf.

Entity Name	Hawaii Emergency Physicians Associated Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801843198 PECOS PAC ID: 2860390283 Enrollment ID: O20040127001137

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. Jacob Shannon 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
Jacob Shannon, DO 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-8333	Jacob Shannon, DO 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-8333

Reviews and Comments

Emergency Medicine Doctors in Hershey, PA

Kimberly R Scholfield, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082
Andrew Jacques, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521
Michael R D'ambrosio, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8955 Fax: 717-531-4587
Dr. Chadd Eric Nesbit, MD, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8955 Fax: 717-531-4587
Simon James Johnson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521
Andrea O'brien, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 35 Hope Dr Ste 102, Hershey, PA 17033 Phone: 717-531-7300 Fax: 717-531-8992

Jacob Shannon, DO - Medicare Emergency Medicine in Hershey, PA