Micaela Rae Shannon, in Jacksonville, FL - Medicare Nurse Practitioner

Micaela Rae Shannon, is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Millennium Physician Group Llc and her current practice location is 7016 Normandy Blvd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 783-2405.

Micaela Rae Shannon is licensed to practice in Florida (license number APRN11015772) 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 1023654647.

Contact Information

	Micaela Rae Shannon,
	7016 Normandy Blvd, Jacksonville, FL 32205-6206
	(904) 783-2405
	(904) 420-6101

Map and Direction

Provider's Profile

Full Name	Micaela Rae Shannon
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	7016 Normandy Blvd, Jacksonville, Florida
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:

Micaela Rae Shannon graduated from nursing school in 2021

NPI Data:

NPI Number: 1023654647
Provider Enumeration Date: 11/19/2019
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 9335536457
Enrollment ID: I20220420000632

Medical Identifiers

Medical identifiers for Micaela Rae Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023654647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	APRN11015772 (Florida)	Secondary
163WE0003X	Registered Nurse - Emergency	RN9469517 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11015772 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Millennium Physician Group Llc	9830244433	789

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. Micaela Rae Shannon allows following entities to bill medicare on her behalf.

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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. Micaela Rae 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
Micaela Rae Shannon, 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Micaela Rae Shannon, 7016 Normandy Blvd, Jacksonville, FL 32205-6206 Ph: (904) 783-2405

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Micaela Rae Shannon, - Medicare Nurse Practitioner in Jacksonville, FL