Shannon N Burch, NP is a medicare enrolled "Nurse Practitioner" physician in Virginia Beach, Virginia. Her current practice location is
1664 Perla Dr, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at
(502) 807-0607.
Shannon N Burch is licensed to practice in Virginia (license number 0024179886) 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 1457949521.
Physician's Profile
| Full Name | Shannon N Burch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1664 Perla Dr, Virginia Beach, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457949521
- Provider Enumeration Date: 01/05/2021
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618336280
- Enrollment ID: I20230629004203
Medical Identifiers
Medical identifiers for Shannon N Burch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457949521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0001232849 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 0024179886 (Virginia) | 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. Shannon N Burch allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383 |
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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. Shannon N Burch 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 |
|---|
Shannon N Burch, NP
1664 Perla Dr,
Virginia Beach, VA 23456-1682
Ph: (502) 807-0607 | Shannon N Burch, NP
1664 Perla Dr,
Virginia Beach, VA 23456-1682
Ph: (502) 807-0607 |
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