Mitsuko P Shannon, MD - Medicare Psychiatry in Kings Mountain, NC

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Mitsuko P Shannon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Kings Mountain, North Carolina. She went to Jc Edwards School Of Medicine, Marshall University and graduated in 1988 and has 36 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice The Charlotte-mecklenburg Hospital Authority, Carolinas Medical Center and her current practice location is 706 W King St, Kings Mountain, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 487-5470.

Mitsuko P Shannon is licensed to practice in North Carolina (license number 9300804) 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 1689694374.

Contact Information

Mitsuko P Shannon, MD
706 W King St,
Kings Mountain, NC 28086-2708
(980) 487-5470
Not Available

Map and Direction




Physician's Profile

Full NameMitsuko P Shannon
GenderFemale
SpecialityPsychiatry
Experience36 Years
Location706 W King St, Kings Mountain, North Carolina
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:
  • Mitsuko P Shannon attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1988
  NPI Data:
  • NPI Number: 1689694374
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446384564
  • Enrollment ID: I20100811000654

Medical Identifiers

Medical identifiers for Mitsuko P Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689694374NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 9300804 (North Carolina)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 9300804 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health ClevelandShelby, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Charlotte-mecklenburg Hospital Authority2961310685489
Carolinas Medical Center4789597477783

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. Mitsuko P Shannon allows following entities to bill medicare on her behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605
Entity NameHealth Services Of Central Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184679482
PECOS PAC ID: 9638076730
Enrollment ID: O20220309000245

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. Mitsuko P 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 AddressPractice Location Address
Mitsuko P Shannon, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Mitsuko P Shannon, MD
706 W King St,
Kings Mountain, NC 28086-2708

Ph: (980) 487-5470

Reviews and Comments


Psychiatry & Neurology Doctors in Kings Mountain, NC

Scott Daniel Adams, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 706 W King St, Kings Mountain, NC 28086
Phone: 980-487-5470    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.