Mr Erastus Shannon, PMH-NP in Albany, NY - Medicare Nurse Practitioner

Mr Erastus Shannon, PMH-NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Albany, New York. His current practice location is 418 Broadway Ste N, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (516) 200-6865.

Mr Erastus Shannon is licensed to practice in New York (license number 404594) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710695762.

Contact Information

	Mr Erastus Shannon, PMH-NP
	418 Broadway Ste N, Albany, NY 12207-2922
	(516) 200-6865
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Erastus Shannon
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	418 Broadway Ste N, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710695762
Provider Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8921472879
Enrollment ID: I20230316001692

Medical Identifiers

Medical identifiers for Mr Erastus Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710695762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404594 (New York)	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. Mr Erastus Shannon allows following entities to bill medicare on his behalf.

Entity Name	Charles Evans Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454

Entity Name	Care Physicians Of Ny Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558982199 PECOS PAC ID: 3072933738 Enrollment ID: O20201019000937

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. Mr Erastus 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
Mr Erastus Shannon, PMH-NP 418 Broadway Ste N, Albany, NY 12207-2922 Ph: (516) 200-6865	Mr Erastus Shannon, PMH-NP 418 Broadway Ste N, Albany, NY 12207-2922 Ph: (516) 200-6865

Reviews and Comments

Nurse Practitioner Nurses in Albany, NY

Denise Ayers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 New Scotland Ave, Albany, NY 12208 Phone: 518-447-9611
Natalia Gyorke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-453-9088 Fax: 518-689-6111
Ms. Veronica Elaine Striffler, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 Washington Ave Ste 101, Albany, NY 12206 Phone: 518-438-4483 Fax: 518-482-4201
Courtney Cassandra Peck, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Executive Park Dr, Albany, NY 12203 Phone: 518-641-6319 Fax: 518-641-6850
Ms. Susan E Macknair, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Hackett Blvd, Albany, NY 12209 Phone: 518-465-3318 Fax: 518-272-7458
Robin M Gray, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-3480 Fax: 518-262-0135
Kelly Irwin Pagnotti, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1550

Mr Erastus Shannon, PMH-NP - Medicare Nurse Practitioner in Albany, NY