Jessica Rae Shanahan, PA-C is a medicare enrolled "Physician Assistant" in South Elgin, Illinois. Her current practice location is
486 Randall Rd Unit B, South Elgin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(224) 783-5000.
Jessica Rae Shanahan is licensed to practice in Illinois (license number 085004648) 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 1811332240.
Provider's Profile
Full Name | Jessica Rae Shanahan |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 486 Randall Rd Unit B, South Elgin, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811332240
- Provider Enumeration Date: 04/29/2013
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153561410
- Enrollment ID: I20130709000779
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
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 |
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 |
Reviews and Comments