Randall J Shannon, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Butte, Montana. He went to Indiana University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pathology. His current practice location is
400 S Clark St, Butte, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 782-7442.
Randall J Shannon is licensed to practice in Montana (license number 8104) 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 1043327562.
Physician's Profile
Full Name | Randall J Shannon |
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Gender | Male |
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Speciality | Pathology |
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Experience | 37 Years |
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Location | 400 S Clark St, Butte, Montana |
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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:
- Randall J Shannon attended and graduated from Indiana University School Of Medicine in 1987
NPI Data:
- NPI Number: 1043327562
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 01/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 2264441047
- Enrollment ID: I20080212000516
Medical Identifiers
Medical identifiers for Randall J Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043327562 | NPI | - | NPPES |
019994 | Medicaid | MT | |
011991 | Other | MT | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 8104 (Montana) | Primary |
Medical Facilities Affiliation
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. Randall J Shannon allows following entities to bill medicare on his behalf.
Entity Name | Butte Pathology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861509382 PECOS PAC ID: 5092709733 Enrollment ID: O20040414000437 |
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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. Randall J 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 |
Randall J Shannon, MD Po Box 4108, Butte, MT 59702-4108 Ph: (406) 782-7442 | Randall J Shannon, MD 400 S Clark St, Butte, MT 59701-2328 Ph: (406) 782-7442 |
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