Shannon Dorer, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Ephrata, Pennsylvania. His current practice location is
169 Martin Ave, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 721-4740.
Shannon Dorer is licensed to practice in Pennsylvania (license number SP028634) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346014214.
Physician's Profile
Full Name | Shannon Dorer |
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Gender | Male |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 169 Martin Ave, Ephrata, Pennsylvania |
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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: 1346014214
- Provider Enumeration Date: 11/13/2023
- Last Update Date: 09/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911349303
- Enrollment ID: I20240530003638
Medical Identifiers
Medical identifiers for Shannon Dorer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346014214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | SP028634 (Pennsylvania) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | SP028634 (Pennsylvania) | 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. Shannon Dorer 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 Dorer, CRNP 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Shannon Dorer, CRNP 169 Martin Ave, Ephrata, PA 17522-1734 Ph: (717) 721-4740 |
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