Dr Kim Patricia Shaughnessy-granger, DNP, CNM is a medicare enrolled "Advanced Practice Midwife" in Quantico, Virginia. Her current practice location is
3259 Catlin Ave, Quantico, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 307-9907.
Dr Kim Patricia Shaughnessy-granger is licensed to practice in * (Not Available) (license number ) 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 1184600793.
Provider's Profile
Full Name | Dr Kim Patricia Shaughnessy-granger |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3259 Catlin Ave, Quantico, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184600793
- Provider Enumeration Date: 12/16/2005
- Last Update Date: 12/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163640517
- Enrollment ID: I20140826001660
Medical Identifiers
Medical identifiers for Dr Kim Patricia Shaughnessy-granger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184600793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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. Dr Kim Patricia Shaughnessy-granger 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 |
Dr Kim Patricia Shaughnessy-granger, DNP, CNM 3259 Catlin Ave, Quantico, VA 22134-5109 Ph: (703) 784-1500 | Dr Kim Patricia Shaughnessy-granger, DNP, CNM 3259 Catlin Ave, Quantico, VA 22134-5109 Ph: (703) 307-9907 |
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