Shannon M Mcdonough, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Jacksonville, Florida. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is
1215 Dunn Ave Ste 1, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 696-7474.
Shannon M Mcdonough is licensed to practice in Florida (license number 9410213) 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 1265916266.
Physician's Profile
| Full Name | Shannon M Mcdonough |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1215 Dunn Ave Ste 1, Jacksonville, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon M Mcdonough graduated from medical school in 2018
NPI Data:
- NPI Number: 1265916266
- Provider Enumeration Date: 09/17/2018
- Last Update Date: 12/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 0446595490
- Enrollment ID: I20181219000335
Medical Identifiers
Medical identifiers for Shannon M Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265916266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 9410213 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9410213 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
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 M Mcdonough allows following entities to bill medicare on her behalf.
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326208695
PECOS PAC ID: 9133025869
Enrollment ID: O20040204000616 |
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| Entity Name | Qualified Emergency Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760683189
PECOS PAC ID: 6204926447
Enrollment ID: O20071212000294 |
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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 M Mcdonough 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 M Mcdonough, ARNP
6520 Fort Caroline Rd,
Jacksonville, FL 32277-2044
Ph: (904) 745-3618 | Shannon M Mcdonough, ARNP
1215 Dunn Ave Ste 1,
Jacksonville, FL 32218-4897
Ph: (904) 696-7474 |
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