Shanna Stephen, MD is a medicare enrolled "Pediatrics" physician in Tamarac, Florida. Her current practice location is
7539 W Oakland Park Blvd Ste 41, Tamarac, Florida. You can reach out to her office (for appointments etc.) via phone at
(754) 223-2705.
Shanna Stephen is licensed to practice in Florida (license number ME132321) 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 1003236175.
Physician's Profile
Full Name | Shanna Stephen |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 7539 W Oakland Park Blvd Ste 41, Tamarac, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003236175
- Provider Enumeration Date: 04/16/2014
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719289909
- Enrollment ID: I20221004002997
Medical Identifiers
Medical identifiers for Shanna Stephen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003236175 | NPI | - | NPPES |
021690000 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | ME132321 (Florida) | 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. Shanna Stephen allows following entities to bill medicare on her behalf.
Entity Name | Broward Health Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568197994 PECOS PAC ID: 4880070507 Enrollment ID: O20221004002286 |
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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. Shanna Stephen 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 |
Shanna Stephen, MD 7539 W Oakland Park Blvd Ste 41, Tamarac, FL 33319-4909 Ph: (754) 223-2705 | Shanna Stephen, MD 7539 W Oakland Park Blvd Ste 41, Tamarac, FL 33319-4909 Ph: (754) 223-2705 |
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