Shannon Lynn Brooks, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Louisville, Kentucky. Her current practice location is
170 Dr Arla Way Ste 101, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 955-8480.
Shannon Lynn Brooks is licensed to practice in Kentucky (license number 3014491) 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 1639787245.
Physician's Profile
Full Name | Shannon Lynn Brooks |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 170 Dr Arla Way Ste 101, Louisville, Kentucky |
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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: 1639787245
- Provider Enumeration Date: 07/20/2020
- Last Update Date: 01/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012324650
- Enrollment ID: I20210329000814
Medical Identifiers
Medical identifiers for Shannon Lynn Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639787245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | KY19765 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3014491 (Kentucky) | 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 Lynn Brooks allows following entities to bill medicare on her behalf.
Entity Name | Molina Care Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180320001095 |
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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 Lynn Brooks 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 Lynn Brooks, APRN 314 Braeburn Dr, Brooks, KY 40109-5074 Ph: () - | Shannon Lynn Brooks, APRN 170 Dr Arla Way Ste 101, Louisville, KY 40229-5427 Ph: (502) 955-8480 |
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