Shannon Petrus Zehtaban, MD in Little Rock, AR

Shannon Petrus Zehtaban, MD is a medicare enrolled "Surgery" physician in Little Rock, Arkansas. Her current practice location is 9500 Kanis Rd Ste 501, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 227-9080.

Shannon Petrus Zehtaban is licensed to practice in Arkansas (license number E-16971) 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 1124524699.

Contact Information

	Shannon Petrus Zehtaban, MD
	9500 Kanis Rd Ste 501, Little Rock, AR 72205-6389
	(501) 227-9080
	(501) 227-0410

Map and Direction

Physician's Profile

Full Name	Shannon Petrus Zehtaban
Gender	Female
Speciality	Surgery
Location	9500 Kanis Rd Ste 501, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124524699
Provider Enumeration Date: 04/03/2018
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4880941160
Enrollment ID: I20230905003845

Medical Identifiers

Medical identifiers for Shannon Petrus Zehtaban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124524699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	E-16971 (Arkansas)	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 Petrus Zehtaban allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760024459 PECOS PAC ID: 7911802079 Enrollment ID: O20200122000556

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 Petrus Zehtaban 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 Petrus Zehtaban, MD 9500 Kanis Rd Ste 501, Little Rock, AR 72205-6389 Ph: (501) 227-9080	Shannon Petrus Zehtaban, MD 9500 Kanis Rd Ste 501, Little Rock, AR 72205-6389 Ph: (501) 227-9080

Reviews and Comments

Surgery Doctors in Little Rock, AR

Charles Wesley Wagner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12609 Saint Charles Blvd, Little Rock, AR 72211 Phone: 501-680-0738
Sandra Minerva Garcia Osogobio, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 520, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148
Mrs. Elaine Marie Thrash, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000
Oleksiy Gudz, M.D.,PHD Surgery Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 520-2, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5328
Mrs. Chelsea Nicole Scherz, APRN Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148
Dr. Jonathan Amarkwei Laryea, MB CHB Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Slot 520, Little Rock, AR 72205 Phone: 501-686-6648 Fax: 501-686-7280
Dr. Jordan W Greer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4110 Outpatient Circle, Outpatient Center, Third Floor, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5855

Shannon Petrus Zehtaban, MD - Medicare Surgery in Little Rock, AR