Shannon Mitchell St Clair, MD is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Winston Salem, North Carolina. His current practice location is
186 Kimel Park Dr, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 277-2000.
Shannon Mitchell St Clair is licensed to practice in North Carolina (license number 2009-00666) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003073396.
Physician's Profile
Full Name | Shannon Mitchell St Clair |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 186 Kimel Park Dr, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shannon Mitchell St Clair attended and graduated from in
NPI Data:
- NPI Number: 1003073396
- Provider Enumeration Date: 05/22/2008
- Last Update Date: 10/25/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shannon Mitchell St Clair such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003073396 | NPI | - | NPPES |
5921382 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 2009-00666 (North Carolina) | Secondary |
207UN0901X | Nuclear Medicine - Nuclear Cardiology | 2009-00666 (North Carolina) | 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 Mitchell St Clair 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 Mitchell St Clair, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 277-2000 | Shannon Mitchell St Clair, MD 186 Kimel Park Dr, Winston Salem, NC 27103-6946 Ph: (336) 277-2000 |
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