Shannon M Roche, DO - Medicare Family Practice in Charlotte, NC

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Shannon M Roche, DO is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. She went to West Virginia School Of Osteopathic Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Avance Care Pa, Select Physical Therapy Holdings Inc and her current practice location is 7903 Providence Rd Ste 100, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-4460.

Shannon M Roche is licensed to practice in North Carolina (license number 2019-00816) 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 1023470267.

Contact Information

Shannon M Roche, DO
7903 Providence Rd Ste 100,
Charlotte, NC 28277-9763
(704) 316-4460
(704) 316-4466

Map and Direction




Physician's Profile

Full NameShannon M Roche
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location7903 Providence Rd Ste 100, Charlotte, North Carolina
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 M Roche attended and graduated from West Virginia School Of Osteopathic Medicine in 2016
  NPI Data:
  • NPI Number: 1023470267
  • Provider Enumeration Date: 03/27/2016
  • Last Update Date: 10/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759673411
  • Enrollment ID: I20191007003300

Medical Identifiers

Medical identifiers for Shannon M Roche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023470267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2019-00816 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Presbyterian Medical CenterCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avance Care Pa3577634476228
Select Physical Therapy Holdings Inc95370764011557

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 Roche allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameDavidson Family Medicine, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811958812
PECOS PAC ID: 9931189008
Enrollment ID: O20040721000523
Entity NameAvance Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487845020
PECOS PAC ID: 3577634476
Enrollment ID: O20080620000196
Entity NameAtrium Health North Market Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871112920
PECOS PAC ID: 1557743440
Enrollment ID: O20220809003741

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 Roche 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 M Roche, DO
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Shannon M Roche, DO
7903 Providence Rd Ste 100,
Charlotte, NC 28277-9763

Ph: (704) 316-4460

Reviews and Comments


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Felice A James, MD
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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.