Mrs Shannon Riley Herrod, NP-C - Medicare Nurse Practitioner in Laurel, MS

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Mrs Shannon Riley Herrod, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Laurel, Mississippi. Her current practice location is 1220 Jefferson St, Laurel, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 319-8568.

Mrs Shannon Riley Herrod is licensed to practice in Mississippi (license number 901922) 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 1649703919.

Contact Information

Mrs Shannon Riley Herrod, NP-C
1220 Jefferson St,
Laurel, MS 39440-4355
(601) 319-8568
(601) 426-4228

Map and Direction




Provider's Profile

Full NameMrs Shannon Riley Herrod
GenderFemale
SpecialityNurse Practitioner - Family
Location1220 Jefferson St, Laurel, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649703919
  • Provider Enumeration Date: 04/04/2017
  • Last Update Date: 04/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6800217522
  • Enrollment ID: I20200605000733

Medical Identifiers

Medical identifiers for Mrs Shannon Riley Herrod such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649703919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 901922 (Mississippi)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 Riley Herrod allows following entities to bill medicare on her behalf.
Entity NameTbd Acquisition Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750891792
PECOS PAC ID: 7911272257
Enrollment ID: O20171219001761
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameTruhealth, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063843951
PECOS PAC ID: 2163653478
Enrollment ID: O20200923002569
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210323002802

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 Riley Herrod 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 Riley Herrod, NP-C
1064 Frances St,
Hattiesburg, MS 39402-8300

Ph: (601) 408-2231		Mrs Shannon Riley Herrod, NP-C
1220 Jefferson St,
Laurel, MS 39440-4355

Ph: (601) 319-8568

Reviews and Comments


Nurse Practitioner Nurses in Laurel, MS

Kayla Marie Cooley, FNP-C
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Practice Location: 1710 W 12th St, Laurel, MS 39440
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Cynthia Lynn Bean,
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Phone: 601-649-5990    Fax: 601-425-7510
Mrs. Elisa Rene Hillman, F.N.P.
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Tiffany Lauren Hilbun, FNP
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Phone: 601-426-2140    Fax: 601-340-3220
Mrs. Jessica Watson Lott, AGACNP-BC
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Practice Location: 404 S 13th Ave, Laurel, MS 39440
Phone: 601-425-5544    Fax: 601-425-5525

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.