Mrs Shannon Leann Mabie, FNP-C - Medicare Nurse Practitioner in Redlands, CA

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Mrs Shannon Leann Mabie, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Redlands, California. Her current practice location is 255 Terracina Blvd Ste 202, Redlands, California. You can reach out to her office (for appointments etc.) via phone at (909) 748-6065.

Mrs Shannon Leann Mabie is licensed to practice in Oregon (license number 202200229NP-PP) 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 1124502190.

Contact Information

Mrs Shannon Leann Mabie, FNP-C
255 Terracina Blvd Ste 202,
Redlands, CA 92373-4870
(909) 748-6065
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shannon Leann Mabie
GenderFemale
SpecialityNurse Practitioner - Family
Location255 Terracina Blvd Ste 202, Redlands, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124502190
  • Provider Enumeration Date: 09/17/2018
  • Last Update Date: 05/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113271289
  • Enrollment ID: I20220414000298

Medical Identifiers

Medical identifiers for Mrs Shannon Leann Mabie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124502190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95010011 (California)Secondary
363LF0000XNurse Practitioner - Family 202200229NP-PP (Oregon)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 Leann Mabie allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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 Leann Mabie 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 AddressPractice Location Address
Mrs Shannon Leann Mabie, FNP-C
2875 Ne Stucki Ave,
Hillsboro, OR 97124-5806

Ph: (951) 756-5642		Mrs Shannon Leann Mabie, FNP-C
255 Terracina Blvd Ste 202,
Redlands, CA 92373-4870

Ph: (909) 748-6065

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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