Shannon Dee Booth, MSN, PMHNP-BC in Wasilla, AK

Shannon Dee Booth, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wasilla, Alaska. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mat - Su Health Services Inc. and her current practice location is 1363 W Spruce Ave, Wasilla, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 376-2411.

Shannon Dee Booth is licensed to practice in Alaska (license number 182979) 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 1083379184.

Contact Information

	Shannon Dee Booth, MSN, PMHNP-BC
	1363 W Spruce Ave, Wasilla, AK 99654-5327
	(907) 376-2411
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Dee Booth
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1363 W Spruce Ave, Wasilla, Alaska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Dee Booth graduated from nursing school in 2021

NPI Data:

NPI Number: 1083379184
Provider Enumeration Date: 11/03/2021
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0345631032
Enrollment ID: I20220107000927

Medical Identifiers

Medical identifiers for Shannon Dee Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083379184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	174083 (Alaska)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	182979 (Alaska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mat - Su Health Services Inc.	2567354533	22

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 Dee Booth allows following entities to bill medicare on her behalf.

Entity Name	Mat - Su Health Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184725210 PECOS PAC ID: 2567354533 Enrollment ID: O20040325000998

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 Dee Booth 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 Dee Booth, MSN, PMHNP-BC 1363 W Spruce Ave, Wasilla, AK 99654-5327 Ph: (907) 376-2411	Shannon Dee Booth, MSN, PMHNP-BC 1363 W Spruce Ave, Wasilla, AK 99654-5327 Ph: (907) 376-2411

Reviews and Comments

Nurse Practitioner Nurses in Wasilla, AK

Alysa Sonnentag, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Fairview Loop, Wasilla, AK 99654 Phone: 907-373-3335
Ms. Lisa Bouyea-francies, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 Fax: 907-352-3373
Stephanie Rae Mcquillin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1751 E Gardner Way Ste E, Wasilla, AK 99654 Phone: 907-376-9321 Fax: 907-376-9322
Mr. Clinton Deaver, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732
Randall Twenhafel, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 E Bogard Rd Ste 233, Wasilla, AK 99654 Phone: 907-357-4543 Fax: 907-357-4533
Samantha Lyn Hamilton, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-373-9460
Nancy Mcdonnell Kent, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3223 Palmer Wasilla Hwy, Suite # 3, Wasilla, AK 99654 Phone: 907-352-6600 Fax: 907-376-3096

Shannon Dee Booth, MSN, PMHNP-BC - Medicare Nurse Practitioner in Wasilla, AK