Kevin Micheal Shannon, MD in Los Angeles, CA - Medicare Pediatric Medicine

Kevin Micheal Shannon, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Los Angeles, California. He went to Columbia University College Of Physicians And Surgeons and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Uc Regents and his current practice location is 10833 Le Conte Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-5296.

Kevin Micheal Shannon is licensed to practice in California (license number G64023) 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 1629005368.

Contact Information

	Kevin Micheal Shannon, MD
	10833 Le Conte Ave, Los Angeles, CA 90095-3075
	(310) 825-5296
	(310) 825-9524

Map and Direction

Physician's Profile

Full Name	Kevin Micheal Shannon
Gender	Male
Speciality	Pediatric Medicine
Experience	37 Years
Location	10833 Le Conte Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Micheal Shannon attended and graduated from Columbia University College Of Physicians And Surgeons in 1987

NPI Data:

NPI Number: 1629005368
Provider Enumeration Date: 06/27/2006
Last Update Date: 08/27/2013

Medicare PECOS Information:

PECOS PAC ID: 8224051404
Enrollment ID: I20060113000501

Medical Identifiers

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

Identifier	Type	State	Issuer
1629005368	NPI	-	NPPES
00G640230	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	G64023 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uc Regents	4587568829	51

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. Kevin Micheal Shannon allows following entities to bill medicare on his behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Kevin Micheal 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
Kevin Micheal Shannon, MD 10833 Le Conte Ave, Los Angeles, CA 90095-3075 Ph: (310) 825-5296	Kevin Micheal Shannon, MD 10833 Le Conte Ave, Los Angeles, CA 90095-3075 Ph: (310) 825-5296

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Kevin Micheal Shannon, MD - Medicare Pediatric Medicine in Los Angeles, CA