Shannon Ursula Waterman, MD in Tacoma, WA

Shannon Ursula Waterman, MD is a medicare enrolled "General Practice" physician in Tacoma, Washington. She went to University Of Washington School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Iora Health Washington Physicians Pc and her current practice location is 11225 Pacific Avenue, Parkland Clinic Community Healthcare, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 536-2020.

Shannon Ursula Waterman is licensed to practice in Washington (license number MD00041919) 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 1649279860.

Contact Information

	Shannon Ursula Waterman, MD
	11225 Pacific Avenue, Parkland Clinic Community Healthcare, Tacoma, WA 98444
	(253) 536-2020
	(253) 536-5327

Map and Direction

Physician's Profile

Full Name	Shannon Ursula Waterman
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	11225 Pacific Avenue, Tacoma, Washington
Accepts Medicare Assignments	Yes. 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 Ursula Waterman attended and graduated from University Of Washington School Of Medicine in 2000

NPI Data:

NPI Number: 1649279860
Provider Enumeration Date: 07/19/2005
Last Update Date: 08/05/2009

Medicare PECOS Information:

PECOS PAC ID: 8820082654
Enrollment ID: I20080314000256

Medical Identifiers

Medical identifiers for Shannon Ursula Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649279860	NPI	-	NPPES
8505422	Medicaid	WA
41383885	Medicaid	NM
P00707652	Other		MEDICARE RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	025209MD00041909 (Washington)	Secondary
208D00000X	General Practice	MD00041919 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley Medical Center	Renton, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iora Health Washington Physicians Pc	1355614421	17

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 Ursula Waterman allows following entities to bill medicare on her behalf.

Entity Name	Iora Senior Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710386545 PECOS PAC ID: 0143520189 Enrollment ID: O20160111002301

Entity Name	Iora Health Washington Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023547072 PECOS PAC ID: 1355614421 Enrollment ID: O20170912001896

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 Ursula Waterman 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 Ursula Waterman, MD 101 E 26th Street, Tacoma, WA 98421 Ph: (253) 722-1540	Shannon Ursula Waterman, MD 11225 Pacific Avenue, Parkland Clinic Community Healthcare, Tacoma, WA 98444 Ph: (253) 536-2020

Reviews and Comments

General Practice Doctors in Tacoma, WA

Molly Cunard, General Practice Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0117
Courtney Lavin, General Practice Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1790
Dr. Glenn J. Kietzer, MD General Practice Medicare: Medicare Enrolled Practice Location: 15005 Pacific Ave, Spanaway General Medical, Tacoma, WA 98444 Phone: 253-537-3724 Fax: 253-537-6425
Desislava Zlatanova Hite, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-8327
Michael A. Bork, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2462 Fax: 253-968-2972
Jessica Lynne Lewis-cruz, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0117
Sean Egan, General Practice Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1250

Shannon Ursula Waterman, MD - Medicare Family Practice in Tacoma, WA