Jessica Rae Shanahan, PA-C is a
Physician Assistant based in South Elgin, Illinois. Jessica Rae Shanahan is licensed to practice in Illinois (license number 085004648) and her current practice location is
486 Randall Rd Unit B, South Elgin, Illinois. She can be reached at her office (for appointments etc.) via phone at
(224) 783-5000.
NPI number for Jessica Rae Shanahan is 1811332240 and her current mailing address is 29373 Network Pl, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811332240.
Provider's Profile
Full Name | Jessica Rae Shanahan |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 486 Randall Rd Unit B, South Elgin, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811332240
- Provider Enumeration Date: 04/29/2013
- Last Update Date: 09/18/2024
Medical Identifiers
Medical identifiers for Jessica Rae Shanahan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811332240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085004648 (Illinois) | 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. Jessica Rae Shanahan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Rae Shanahan, PA-C 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Jessica Rae Shanahan, PA-C 486 Randall Rd Unit B, South Elgin, IL 60177-3354 Ph: (224) 783-5000 |
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