Shannon Carey, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in West Warwick, Rhode Island. Her current practice location is
186 Providence St, West Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 615-2800.
Shannon Carey 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 1639762792.
Provider's Profile
| Full Name | Shannon Carey |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 186 Providence St, West Warwick, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639762792
- Provider Enumeration Date: 02/18/2021
- Last Update Date: 11/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002283116
- Enrollment ID: I20221102002265
Medical Identifiers
Medical identifiers for Shannon Carey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639762792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APRN03251 (Rhode Island) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Shannon Carey allows following entities to bill medicare on her behalf.
| Entity Name | Thundermist Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700041001
PECOS PAC ID: 1557270477
Enrollment ID: O20040211000909 |
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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 Carey 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 |
|---|
Shannon Carey,
186 Providence St,
West Warwick, RI 02893-2508
Ph: (401) 615-2800 | Shannon Carey,
186 Providence St,
West Warwick, RI 02893-2508
Ph: (401) 615-2800 |
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