Shannon Deckman, RN is a
Developmental Therapist based in Parrish, Florida. Shannon Deckman is licensed to practice in * (Not Available) (license number ) and her current practice location is
5540 107th Ter E, Parrish, Florida. She can be reached at her office (for appointments etc.) via phone at
(215) 620-0589.
NPI number for Shannon Deckman is 1992126817 and her current mailing address is 5540 107th Ter E, Parrish, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992126817.
Provider's Profile
Full Name | Shannon Deckman |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 5540 107th Ter E, Parrish, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992126817
- Provider Enumeration Date: 12/18/2013
- Last Update Date: 07/17/2019
Medical Identifiers
Medical identifiers for Shannon Deckman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992126817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN9350517 (Florida) | Secondary |
222Q00000X | Developmental Therapist | (* (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. Shannon Deckman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Deckman, RN 5540 107th Ter E, Parrish, FL 34219-4530 Ph: (215) 620-0589 | Shannon Deckman, RN 5540 107th Ter E, Parrish, FL 34219-4530 Ph: (215) 620-0589 |
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