Mrs Chandelle Eilene Shannon, PA-C in Auburn Hills, MI

Mrs Chandelle Eilene Shannon, PA-C is a medicare enrolled "Physician Assistant" in Auburn Hills, Michigan. Her current practice location is 3265 Five Points Dr Ste A, Auburn Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 609-1234.

Mrs Chandelle Eilene Shannon is licensed to practice in Michigan (license number 5601011252) 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 1710606314.

Contact Information

	Mrs Chandelle Eilene Shannon, PA-C
	3265 Five Points Dr Ste A, Auburn Hills, MI 48326-2337
	(248) 609-1234
	(248) 290-9643

Map and Direction

Provider's Profile

Full Name	Mrs Chandelle Eilene Shannon
Gender	Female
Speciality	Physician Assistant
Location	3265 Five Points Dr Ste A, Auburn Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710606314
Provider Enumeration Date: 08/25/2022
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8325414808
Enrollment ID: I20221025001987

Medical Identifiers

Medical identifiers for Mrs Chandelle Eilene Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710606314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1191042 (Michigan)	Secondary
363A00000X	Physician Assistant	5601011252 (Michigan)	Primary

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. Mrs Chandelle Eilene 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
Mrs Chandelle Eilene Shannon, PA-C 3265 Five Points Dr, Auburn Hills, MI 48326-2337 Ph: (248) 609-1234	Mrs Chandelle Eilene Shannon, PA-C 3265 Five Points Dr Ste A, Auburn Hills, MI 48326-2337 Ph: (248) 609-1234

Reviews and Comments

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Mrs Chandelle Eilene Shannon, PA-C - Medicare Physician Assistant in Auburn Hills, MI