Mrs Shannon Whitney Clark, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Enid, OK

Mrs Shannon Whitney Clark, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Enid, Oklahoma. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Oliver Street 5.01(a) Inc and her current practice location is 600 S Monroe St, Enid, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 233-2300.

Mrs Shannon Whitney Clark is licensed to practice in Oklahoma (license number 4606) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811569270.

Contact Information

Mrs Shannon Whitney Clark, PHYSICIAN ASSISTANT
600 S Monroe St,
Enid, OK 73701-7211
(580) 233-2300
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shannon Whitney Clark
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location600 S Monroe St, Enid, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shannon Whitney Clark graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1811569270
  • Provider Enumeration Date: 07/14/2021
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183022015
  • Enrollment ID: I20211007001567

Medical Identifiers

Medical identifiers for Mrs Shannon Whitney Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811569270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 4606 (Oklahoma)Secondary
363A00000XPhysician Assistant 4606 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's Regional Medical CenterEnid, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125144

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 Whitney Clark 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 Whitney Clark, PHYSICIAN ASSISTANT
5833 Huerfano Dr,
Colorado Springs, CO 80923-3436

Ph: (316) 573-3088
Mrs Shannon Whitney Clark, PHYSICIAN ASSISTANT
600 S Monroe St,
Enid, OK 73701-7211

Ph: (580) 233-2300

Reviews and Comments


Physician Assistant Nurses in Enid, OK

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Phone: 580-233-2900    

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.