Mrs Shannon Ruth Ervin, PA-C is a medicare enrolled "Physician Assistant" physician in Charlotte, North Carolina. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mecklenburg Radiology Associates Pa and her current practice location is
3623 Latrobe Dr, Suite 216, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 332-1291.
Mrs Shannon Ruth Ervin is licensed to practice in North Carolina (license number 103580) 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 1386606028.
Physician's Profile
| Full Name | Mrs Shannon Ruth Ervin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 3623 Latrobe Dr, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Shannon Ruth Ervin graduated from medical school in 2002
NPI Data:
- NPI Number: 1386606028
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 02/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810990124
- Enrollment ID: I20060804000298
Medical Identifiers
Medical identifiers for Mrs Shannon Ruth Ervin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386606028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0204X | Radiology - Vascular & Interventional Radiology | 103580 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 103580 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mecklenburg Radiology Associates Pa | 6800789587 | 80 |
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. Mrs Shannon Ruth Ervin 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 |
|---|
Mrs Shannon Ruth Ervin, PA-C
Po Box 221249,
Charlotte, NC 28222-1249
Ph: (704) 332-1291 | Mrs Shannon Ruth Ervin, PA-C
3623 Latrobe Dr, Suite 216,
Charlotte, NC 28211
Ph: (704) 332-1291 |
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