Ms Shannon Marie Jennings, AGACNP-BC - Medicare Nurse Practitioner in Mesa, AZ

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Ms Shannon Marie Jennings, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Mesa, Arizona. Her current practice location is 2024 S Baldwin Unit 76, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (504) 909-3872.

Ms Shannon Marie Jennings is licensed to practice in Arizona (license number 276686) 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 1396493789.

Contact Information

Ms Shannon Marie Jennings, AGACNP-BC
2024 S Baldwin Unit 76,
Mesa, AZ 85209-1706
(504) 909-3872
Not Available

Map and Direction




Provider's Profile

Full NameMs Shannon Marie Jennings
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2024 S Baldwin Unit 76, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396493789
  • Provider Enumeration Date: 03/14/2022
  • Last Update Date: 02/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254714629
  • Enrollment ID: I20220817002420

Medical Identifiers

Medical identifiers for Ms Shannon Marie Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396493789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN205721 (Arizona)Secondary
363LA2100XNurse Practitioner - Acute Care 276686 (Arizona)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. Ms Shannon Marie Jennings allows following entities to bill medicare on her behalf.
Entity NameBanner Physician Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509
Entity NameArizona Centers For Digestive Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568975316
PECOS PAC ID: 5193083087
Enrollment ID: O20171226000651

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. Ms Shannon Marie Jennings 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
Ms Shannon Marie Jennings, AGACNP-BC
11426 E Petra Ave,
Mesa, AZ 85212-1964

Ph: (504) 909-3872		Ms Shannon Marie Jennings, AGACNP-BC
2024 S Baldwin Unit 76,
Mesa, AZ 85209-1706

Ph: (504) 909-3872

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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