Shanisa Harrold, MD in San Angelo, TX - Medicare Internal Medicine

Shanisa Harrold, MD is a medicare enrolled "Internal Medicine" physician in San Angelo, Texas. Her current practice location is 6046 Appaloosa Trl, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 284-4000.

Shanisa Harrold is licensed to practice in Texas (license number U1509) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831651504.

Contact Information

	Shanisa Harrold, MD
	6046 Appaloosa Trl, San Angelo, TX 76901-5274
	(325) 284-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Shanisa Harrold
Gender	Female
Speciality	Internal Medicine
Location	6046 Appaloosa Trl, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831651504
Provider Enumeration Date: 04/02/2019
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8123454733
Enrollment ID: I20230323003035

Medical Identifiers

Medical identifiers for Shanisa Harrold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831651504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2022036666 (Missouri)	Secondary
207R00000X	Internal Medicine	U1509 (Texas)	Primary

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. Shanisa Harrold allows following entities to bill medicare on her behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

Entity Name	Vpa Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

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. Shanisa Harrold 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
Shanisa Harrold, MD 4760 Trees Edge Ln, Black Jack, MO 63033-4574 Ph: (817) 874-7763	Shanisa Harrold, MD 6046 Appaloosa Trl, San Angelo, TX 76901-5274 Ph: (325) 284-4000

Reviews and Comments

Internal Medicine Doctors in San Angelo, TX

Dr. Jesse L Jurado, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3501 Executive Dr, San Angelo, TX 76904 Phone: 325-949-5081 Fax: 325-224-4284
Dennis Durham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-947-6063 Fax: 325-947-6189
Charles M Jones, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-481-2198 Fax: 325-659-0180
David R Delaplane, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Executive Dr Ste 108, San Angelo, TX 76904 Phone: 325-245-4500 Fax: 325-245-4040
Dr. Kai M Sun, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Executive Dr, Suite 100, San Angelo, TX 76904 Phone: 325-245-4501
Javier Leoncio Baez Presser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-6410
Dr. Ekemini Benedict Usoro, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741

Shanisa Harrold, MD - Medicare Internal Medicine in San Angelo, TX