Shannon L Goldsmith, DO - Medicare Family Practice in Ellisville, MS

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Shannon L Goldsmith, DO is a medicare enrolled "Family Medicine" physician in Ellisville, Mississippi. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hattiesburg Clinic, Pa and her current practice location is 822 Main St, Ellisville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 477-2014.

Shannon L Goldsmith is licensed to practice in Mississippi (license number 24285) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477748648.

Contact Information

Shannon L Goldsmith, DO
822 Main St,
Ellisville, MS 39437-2425
(601) 477-2014
(601) 477-9942

Map and Direction




Physician's Profile

Full NameShannon L Goldsmith
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location822 Main St, Ellisville, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon L Goldsmith attended and graduated from Ohio University, College Of Osteopathic Medicine in 2007
  NPI Data:
  • NPI Number: 1477748648
  • Provider Enumeration Date: 09/11/2007
  • Last Update Date: 07/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486786936
  • Enrollment ID: I20160407001390

Medical Identifiers

Medical identifiers for Shannon L Goldsmith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477748648NPI-NPPES
07854358MedicaidMS
12114080OtherOHCAQH
3056277MedicaidOH
0236248MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34009767 (Ohio)Secondary
207Q00000XFamily Medicine 24285 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General Home CareHattiesburg, MSHome health agency
Mississippi Homecare Of RichtonRichton, MSHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794488

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 L Goldsmith allows following entities to bill medicare on her behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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 L Goldsmith 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 AddressPractice Location Address
Shannon L Goldsmith, DO
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 477-2014		Shannon L Goldsmith, DO
822 Main St,
Ellisville, MS 39437-2425

Ph: (601) 477-2014

Reviews and Comments


Family Medicine Doctors in Ellisville, MS

Joseph R Danford, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 822 Main St, Ellisville, MS 39437
Phone: 601-477-2014    Fax: 601-477-9942
William Currie, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 822 Main St, Ellisville, MS 39437
Phone: 601-477-2014    Fax: 601-477-9942
Adam T Purvis, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 822 Main St, Ellisville, MS 39437
Phone: 601-477-2014    Fax: 601-579-5240
Dr. Michael Casey, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1203 Avenue B, Ellisville, MS 39437
Phone: 601-477-8553    Fax: 601-477-9158

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.