Randall J Shannon, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Butte, Montana. 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 | |
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Experience | 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 in
NPI Data:
- NPI Number: 1043327562
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 01/14/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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