Lisa Katherine Theobald Shanahan, DO - Medicare Obstetrics/gynecology in New York, NY

Lisa Katherine Theobald Shanahan, DO is a medicare enrolled "Obstetrics & Gynecology" physician in New York, New York. She went to University Of Kentucky College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice New York University and her current practice location is 530 1st Ave Ste 10q, New York, New York. You can reach out to her office (for appointments etc.) via phone at (631) 376-4060.

Lisa Katherine Theobald Shanahan is licensed to practice in New York (license number 303994-01) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871943837.

Contact Information

Lisa Katherine Theobald Shanahan, DO
530 1st Ave Ste 10q,
New York, NY 10016-6402
(631) 376-4060
Not Available

Map and Direction




Physician's Profile

Full NameLisa Katherine Theobald Shanahan
GenderFemale
SpecialityObstetrics/gynecology
Experience8 Years
Location530 1st Ave Ste 10q, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Katherine Theobald Shanahan attended and graduated from University Of Kentucky College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1871943837
  • Provider Enumeration Date: 06/20/2016
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7113262189
  • Enrollment ID: I20200819001932

Medical Identifiers

Medical identifiers for Lisa Katherine Theobald Shanahan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871943837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 303994-01 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324224495

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. Lisa Katherine Theobald Shanahan allows following entities to bill medicare on her behalf.
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

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. Lisa Katherine Theobald Shanahan 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 AddressPractice Location Address
Lisa Katherine Theobald Shanahan, DO
530 1st Ave Ste 10q,
New York, NY 10016-6402

Ph: () -
Lisa Katherine Theobald Shanahan, DO
530 1st Ave Ste 10q,
New York, NY 10016-6402

Ph: (631) 376-4060

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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