Shannon D Marzouk, ARNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Leesburg, Florida. Her current practice location is
600 E Dixie Ave, Leesburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 323-5762.
Shannon D Marzouk is licensed to practice in Florida (license number APRN11021923) 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 1326755646.
Physician's Profile
| Full Name | Shannon D Marzouk |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 600 E Dixie Ave, Leesburg, Florida |
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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: 1326755646
- Provider Enumeration Date: 11/07/2022
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466821004
- Enrollment ID: I20221203000236
Medical Identifiers
Medical identifiers for Shannon D Marzouk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326755646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | APRN11021923 (Florida) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | APRN11021923 (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. Shannon D Marzouk allows following entities to bill medicare on her behalf.
| Entity Name | Cogent Healthcare Of Pensacola Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346287182
PECOS PAC ID: 1153226766
Enrollment ID: O20031205000170 |
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| Entity Name | Inpatient Care Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679817134
PECOS PAC ID: 0345493623
Enrollment ID: O20130117000370 |
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| Entity Name | Rockledge Physician Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538523295
PECOS PAC ID: 1254621048
Enrollment ID: O20160607001833 |
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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 D Marzouk 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 |
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Shannon D Marzouk, ARNP
2535 Revolution St Unit 101,
Melbourne, FL 32935-3920
Ph: (321) 591-8682 | Shannon D Marzouk, ARNP
600 E Dixie Ave,
Leesburg, FL 34748-5925
Ph: (352) 323-5762 |
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