Mary M Shannon, CRNP in Kittanning, PA - Medicare Nurse Practitioner

Mary M Shannon, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Kittanning, Pennsylvania. Her current practice location is 1 Nolte Dr, Kittanning, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 543-8536.

Mary M Shannon is licensed to practice in Pennsylvania (license number SP007840) 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 1104816073.

Contact Information

	Mary M Shannon, CRNP
	1 Nolte Dr, Kittanning, PA 16201-7111
	(724) 543-8536
	(724) 543-8743

Map and Direction

Provider's Profile

Full Name	Mary M Shannon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1 Nolte Dr, Kittanning, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104816073
Provider Enumeration Date: 10/24/2005
Last Update Date: 07/16/2007

Medicare PECOS Information:

PECOS PAC ID: 0749242246
Enrollment ID: I20041027001019

Medical Identifiers

Medical identifiers for Mary M Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104816073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP007840 (Pennsylvania)	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. Mary M Shannon allows following entities to bill medicare on her behalf.

Entity Name	Shannon Wound Care Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649405960 PECOS PAC ID: 1355494725 Enrollment ID: O20090803000120

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. Mary M Shannon 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
Mary M Shannon, CRNP 3530 Peach St, Suite Ll1, Erie, PA 16508-2768 Ph: () -	Mary M Shannon, CRNP 1 Nolte Dr, Kittanning, PA 16201-7111 Ph: (724) 543-8536

Reviews and Comments

Nurse Practitioner Nurses in Kittanning, PA

Dr. Brittaney Leigh Moore, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8268
Christine Burghart Cassesse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Jefferson St, Kittanning, PA 16201 Phone: 724-543-2941 Fax: 724-548-8119
Andrea L Dorinsky, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Franklin Village Mall, Kittanning, PA 16201 Phone: 724-543-3278 Fax: 724-431-4306
Mr. Matthew D Starr, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 316 1st Ave, Suite 275, Kittanning, PA 16201 Phone: 724-545-2205 Fax: 724-545-2600
Lisa Shay Bono, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 833-246-7662 Fax: 724-671-1706
Charlotte A Dehgan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8164 Fax: 724-543-8616

Mary M Shannon, CRNP - Medicare Nurse Practitioner in Kittanning, PA