Shannon D Leake, APRN, FNP-C in Mount Pleasant, TX

Shannon D Leake, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mount Pleasant, Texas. Her current practice location is 410 N Jefferson Ave # 262, Mount Pleasant, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 287-5788.

Shannon D Leake is licensed to practice in Colorado (license number 0002825-C-NP) 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 1598304115.

Contact Information

	Shannon D Leake, APRN, FNP-C
	410 N Jefferson Ave # 262, Mount Pleasant, TX 75455-3937
	(903) 287-5788
	(903) 213-9031

Map and Direction

Provider's Profile

Full Name	Shannon D Leake
Gender	Female
Speciality	Nurse Practitioner - Family
Location	410 N Jefferson Ave # 262, Mount Pleasant, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598304115
Provider Enumeration Date: 12/30/2019
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1254761588
Enrollment ID: I20200428001466

Medical Identifiers

Medical identifiers for Shannon D Leake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598304115	NPI	-	NPPES
63678	Other	NM	NEW MEXICO BOARD OF NURSING
0002825-C-NP	Other	CO	COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO
AP144577	Other	TX	TEXAS BON

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP144577 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	63678 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	0002825-C-NP (Colorado)	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 D Leake allows following entities to bill medicare on her behalf.

Entity Name	Wound Care Interventions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831970557 PECOS PAC ID: 5698123230 Enrollment ID: O20231121001309

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 D Leake 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 D Leake, APRN, FNP-C 727 County Road 1612, 410 North Jefferson Avenue #262, Mount Pleasant, TX 75455-3937 Ph: (903) 287-5788	Shannon D Leake, APRN, FNP-C 410 N Jefferson Ave # 262, Mount Pleasant, TX 75455-3937 Ph: (903) 287-5788

Reviews and Comments

Nurse Practitioner Nurses in Mount Pleasant, TX

Valerie Ann Snyder, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave Ste 204a, Mount Pleasant, TX 75455 Phone: 903-577-6606 Fax: 903-434-7135
Kathleen Anne Rice, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-9355
Mrs. Agnes Marie Yahl, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Mulberry Ave, Mount Pleasant, TX 75455 Phone: 903-434-4850 Fax: 903-434-4899
Ms. Linda Marie Mcdermott-gonzalez, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 N Jefferson Ave, Suite 300, Mount Pleasant, TX 75455 Phone: 903-572-9823 Fax: 903-572-4812
Ms. Anna Isabel Trevino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000
Mrs. Jami Lanette Baker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-2273
Oghenetega Mirella Meir, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000

Shannon D Leake, APRN, FNP-C - Medicare Nurse Practitioner in Mount Pleasant, TX