Mrs Shannon Nicole Forlivio, PA-C in Boston, MA

Mrs Shannon Nicole Forlivio, PA-C is a medicare enrolled "Physician Assistant" in Boston, Massachusetts. Her current practice location is 1 Boston Medical Ctr Pl # C500, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 638-8609.

Mrs Shannon Nicole Forlivio is licensed to practice in Massachusetts (license number PS9068) 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 1316660558.

Contact Information

	Mrs Shannon Nicole Forlivio, PA-C
	1 Boston Medical Ctr Pl # C500, Boston, MA 02118-2908
	(617) 638-8609
	(617) 638-8607

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Nicole Forlivio
Gender	Female
Speciality	Physician Assistant
Location	1 Boston Medical Ctr Pl # C500, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316660558
Provider Enumeration Date: 09/22/2022
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6901279041
Enrollment ID: I20230310000778

Medical Identifiers

Medical identifiers for Mrs Shannon Nicole Forlivio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316660558	NPI	-	NPPES
110192751A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PS9068 (Massachusetts)	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 Shannon Nicole Forlivio 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 Shannon Nicole Forlivio, PA-C 960 Massachusetts Avenue, Fl 2, Boston, MA 02118 Ph: () -	Mrs Shannon Nicole Forlivio, PA-C 1 Boston Medical Ctr Pl # C500, Boston, MA 02118-2908 Ph: (617) 638-8609

Reviews and Comments

Physician Assistant Nurses in Boston, MA

Cara L Richards, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 Fax: 212-590-5581
Shawn Maguire, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Brookline Ave, Boston, MA 02215 Phone: 617-582-8487
Emily Marie Webster, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Boston Medical Ctr Pl # 1, Boston, MA 02118 Phone: 617-414-5481
Mr. Timothy Michael Britt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Albany Street, Shapiro 4, Suite B, Boston, MA 02118 Phone: 617-638-5633 Fax: 617-414-5226
Ms. Amy Elizabeth Cotton, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500
Bridget N. Babich-wydysh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Boston Medical Center Place, C500, Boston, MA 02118 Phone: 617-638-8609 Fax: 617-638-8607
Shalynn Doherty, Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2000

Mrs Shannon Nicole Forlivio, PA-C - Medicare Physician Assistant in Boston, MA