Katie J Shannon, ATC/LAT is a
Physical Medicine & Rehabilitation physician based in Mountain Grove, Missouri. Katie J Shannon is licensed to practice in Missouri (license number 2018032324) and her current practice location is 1206 N Main St, Mountain Grove, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 926-5699.
NPI number for Katie J Shannon is 1619450244 and her current mailing address is 8160 Whetstone Rd, Mountain Grove, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619450244.
Physician's Profile
Full Name | Katie J Shannon |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 1206 N Main St, Mountain Grove, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619450244
- Provider Enumeration Date: 09/10/2018
- Last Update Date: 09/10/2018
Medical Identifiers
Medical identifiers for Katie J Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619450244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 2018032324 (Missouri) | 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. Katie J 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 |
Katie J Shannon, ATC/LAT 8160 Whetstone Rd, Mountain Grove, MO 65711-2553 Ph: (832) 318-5290 | Katie J Shannon, ATC/LAT 1206 N Main St, Mountain Grove, MO 65711-1025 Ph: (417) 926-5699 |
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