Mrs Shannon Harrison Malone, FNP-BC in Crystal Lake, IL

Mrs Shannon Harrison Malone, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Crystal Lake, Illinois. Her current practice location is 442 N Illinois Rte 31, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 238-3211.

Mrs Shannon Harrison Malone is licensed to practice in Illinois (license number 209.026522) 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 1033826060.

Contact Information

	Mrs Shannon Harrison Malone, FNP-BC
	442 N Illinois Rte 31, Crystal Lake, IL 60012-6001
	(224) 238-3211
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Harrison Malone
Gender	Female
Speciality	Nurse Practitioner - Family
Location	442 N Illinois Rte 31, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033826060
Provider Enumeration Date: 10/31/2022
Last Update Date: 12/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3971968157
Enrollment ID: I20230421000781

Medical Identifiers

Medical identifiers for Mrs Shannon Harrison Malone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033826060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.026522 (Illinois)	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. Mrs Shannon Harrison Malone allows following entities to bill medicare on her behalf.

Entity Name	Kidney Care Center Elgin Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508126764 PECOS PAC ID: 2769634252 Enrollment ID: O20121207000412

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 Harrison Malone 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 Harrison Malone, FNP-BC 442 N Illinois Rte 31, Crystal Lake, IL 60012 Ph: (224) 238-3211	Mrs Shannon Harrison Malone, FNP-BC 442 N Illinois Rte 31, Crystal Lake, IL 60012-6001 Ph: (224) 238-3211

Reviews and Comments

Nurse Practitioner Nurses in Crystal Lake, IL

Sandra Jaeschke, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044
Mrs. Jenna T Winsko, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Suite 120, Crystal Lake, IL 60014 Phone: 815-477-8900 Fax: 815-477-7160
Katherine A Galias, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 815-459-6655 Fax: 847-658-9922
Ashley Wallen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Northwest Hwy, Crystal Lake, IL 60014 Phone: 866-825-3227
Jessica Barrera, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500
Erin Williams, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1305 Randall Rd, Crystal Lake, IL 60014 Phone: 815-356-0386

Mrs Shannon Harrison Malone, FNP-BC - Medicare Nurse Practitioner in Crystal Lake, IL