Miss Michelle Lee Shannon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Berlin, New Jersey. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Trident Anesthesia Group Llc and her current practice location is
248 Cross Keys Rd, Berlin, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 889-5162.
Miss Michelle Lee Shannon is licensed to practice in South Carolina (license number 24566) 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 1780270728.
Provider's Profile
| Full Name | Miss Michelle Lee Shannon |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 248 Cross Keys Rd, Berlin, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Michelle Lee Shannon graduated from nursing school in 2020
NPI Data:
- NPI Number: 1780270728
- Provider Enumeration Date: 12/14/2020
- Last Update Date: 02/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002221322
- Enrollment ID: I20210219000561
Medical Identifiers
Medical identifiers for Miss Michelle Lee Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780270728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 24566 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Trident Anesthesia Group Llc | 5294631545 | 97 |
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. Miss Michelle Lee Shannon allows following entities to bill medicare on her behalf.
| Entity Name | Trident Anesthesia Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376595520
PECOS PAC ID: 5294631545
Enrollment ID: O20031209000391 |
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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. Miss Michelle Lee 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 |
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Miss Michelle Lee Shannon,
248 Cross Keys Rd,
Berlin, NJ 08009-2053
Ph: (856) 889-5162 | Miss Michelle Lee Shannon,
248 Cross Keys Rd,
Berlin, NJ 08009-2053
Ph: (856) 889-5162 |
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