Mr Shannon E Phillips Jr, NP in Carthage, TX - Medicare Nurse Practitioner

Mr Shannon E Phillips Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Carthage, Texas. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Quitman Hospital Llc and his current practice location is 409 Cottage Rd, Carthage, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 694-4824.

Mr Shannon E Phillips Jr is licensed to practice in Texas (license number 669011) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811969165.

Contact Information

	Mr Shannon E Phillips Jr, NP
	409 Cottage Rd, Carthage, TX 75633-1466
	(903) 694-4824
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Shannon E Phillips Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	21 Years
Location	409 Cottage Rd, Carthage, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Shannon E Phillips Jr graduated from nursing school in 2003

NPI Data:

NPI Number: 1811969165
Provider Enumeration Date: 02/02/2006
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6800867136
Enrollment ID: I20040802001049

Medical Identifiers

Medical identifiers for Mr Shannon E Phillips Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811969165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	669011 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Health East Texas Quitman Hospital	Quitman, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Quitman Hospital Llc	9133484330	21

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 Shannon E Phillips Jr allows following entities to bill medicare on his behalf.

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

Entity Name	East Texas Out-patient Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417511593 PECOS PAC ID: 8820326275 Enrollment ID: O20190822001823

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 Shannon E Phillips Jr 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 Shannon E Phillips Jr, NP P.o. Box 76, Canton, TX 75103 Ph: (903) 962-3419	Mr Shannon E Phillips Jr, NP 409 Cottage Rd, Carthage, TX 75633-1466 Ph: (903) 694-4824

Reviews and Comments

Nurse Practitioner Nurses in Carthage, TX

Mrs. Nancy Mosby Yarnell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W Panola St, Carthage, TX 75633 Phone: 903-705-7601
Mrs. Cicily Dianne Cross-blair, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Cottage Rd, Carthage, TX 75633 Phone: 903-694-4948
Mrs. Kimberly Parker Jones, MSN, APRN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 N Saint Mary St, Carthage, TX 75633 Phone: 903-235-9992 Fax: 903-209-2993
Dashau Owens, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 127 W Panola St, Carthage, TX 75633 Phone: 214-997-1171
Paula Jones, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 Cottage Rd, Carthage, TX 75633 Phone: 903-694-4854
Cathleen Marie Fabbiani, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 704 Davis St, Carthage, TX 75633 Phone: 903-694-4824 Fax: 903-694-4621
Kim Heath, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4054 Nw Loop, Carthage, TX 75633 Phone: 903-693-8504

Mr Shannon E Phillips Jr, NP - Medicare Nurse Practitioner in Carthage, TX