Dr Shannon B Rider, MD - Medicare Internal Medicine in Harrisburg, IL

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Dr Shannon B Rider, MD is a medicare enrolled "Internal Medicine" physician in Harrisburg, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southern Illinois Medical Services Nfp and his current practice location is 117 E Clark St, Harrisburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 252-8625.

Dr Shannon B Rider is licensed to practice in Illinois (license number 036105880) 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 1508846429.

Contact Information

Dr Shannon B Rider, MD
117 E Clark St,
Harrisburg, IL 62946-2702
(618) 252-8625
(618) 351-4859

Map and Direction




Physician's Profile

Full NameDr Shannon B Rider
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location117 E Clark St, Harrisburg, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shannon B Rider attended and graduated from Southern Illinois University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1508846429
  • Provider Enumeration Date: 01/18/2006
  • Last Update Date: 02/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981883543
  • Enrollment ID: I20110127001131

Medical Identifiers

Medical identifiers for Dr Shannon B Rider such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508846429NPI-NPPES
036105880MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036105880 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lhc-illinois Home Health CareMarion, ILHome health agency
Lbn Residential Home Health Of Southern IllinoisMarion, ILHome health agency
Egyptian Health DepartmentHarrisburg, ILHome health agency
Hospice Of Southern Ill, IncBelleville, ILHospice
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Harrisburg Medical CenterHarrisburg, ILHospital
Franklin HospitalBenton, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital
Ferrell Hospital Community FoundationsEldorado, ILHospital
Helia Healthcare Of EnergyEnergy, ILNursing home
Saline Care Nursing & RehabHarrisburg, ILNursing home
Shawnee Senior LivingHerrin, ILNursing home
Manor Court Of CarbondaleCarbondale, ILNursing home
Carrier Mills Nsg & Rehab CtrCarrier mills, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Medical Services Nfp3678677390252

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. Dr Shannon B Rider allows following entities to bill medicare on his behalf.
Entity NameHarrisburg Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396878658
PECOS PAC ID: 9638083884
Enrollment ID: O20031113000179
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595

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. Dr Shannon B Rider 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
Dr Shannon B Rider, MD
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 457-5200		Dr Shannon B Rider, MD
117 E Clark St,
Harrisburg, IL 62946-2702

Ph: (618) 252-8625

Reviews and Comments


Internal Medicine Doctors in Harrisburg, IL

Mr. Michael L York, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 117 E Clark St, Harrisburg, IL 62946
Phone: 618-252-8625    Fax: 618-252-2340
Mr. Charles E Seten, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 117 E Clark St, Harrisburg, IL 62946
Phone: 618-252-8625    Fax: 618-252-2540

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.