Shannon C Pitt, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Northome, Minnesota. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Health Of Northern Minnesota and her current practice location is
12052 Main St., Northome, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 897-5222.
Shannon C Pitt is licensed to practice in Minnesota (license number 6664) 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 1093377640.
Provider's Profile
| Full Name | Shannon C Pitt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 12052 Main St., Northome, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon C Pitt graduated from nursing school in 2019
NPI Data:
- NPI Number: 1093377640
- Provider Enumeration Date: 07/03/2019
- Last Update Date: 03/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941538607
- Enrollment ID: I20190820002245
Medical Identifiers
Medical identifiers for Shannon C Pitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093377640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 6664 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Health Of Northern Minnesota | 5597725168 | 284 |
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. Shannon C Pitt allows following entities to bill medicare on her behalf.
| Entity Name | Cook Area Health Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174596027
PECOS PAC ID: 4880681303
Enrollment ID: O20040427001470 |
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| Entity Name | Sanford Health Of Northern Minnesota |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770849697
PECOS PAC ID: 5597725168
Enrollment ID: O20041025000442 |
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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. Shannon C Pitt 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 |
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Shannon C Pitt, FNP-C
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Shannon C Pitt, FNP-C
12052 Main St.,
Northome, MN 56661
Ph: (218) 897-5222 |
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