Shannon Dockham, FNP-C in San Jose, CA - Medicare Nurse Practitioner

Shannon Dockham, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in San Jose, California. Her current practice location is 554 Blossom Hill Rd, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 281-2772.

Shannon Dockham is licensed to practice in California (license number 95007952) 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 1679139943.

Contact Information

	Shannon Dockham, FNP-C
	554 Blossom Hill Rd, San Jose, CA 95123-3212
	(408) 281-2772
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Dockham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	554 Blossom Hill Rd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679139943
Provider Enumeration Date: 05/13/2019
Last Update Date: 06/22/2019

Medicare PECOS Information:

PECOS PAC ID: 7315272432
Enrollment ID: I20190711002607

Medical Identifiers

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

Identifier	Type	State	Issuer
1679139943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007952 (California)	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 Dockham allows following entities to bill medicare on her behalf.

Entity Name	California Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922020940 PECOS PAC ID: 0345204251 Enrollment ID: O20041118001110

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 Dockham 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 Dockham, FNP-C 2100 Powell St, Ste 400, Emeryville, CA 94608-1826 Ph: (510) 350-2600	Shannon Dockham, FNP-C 554 Blossom Hill Rd, San Jose, CA 95123-3212 Ph: (408) 281-2772

Reviews and Comments

Nurse Practitioner Nurses in San Jose, CA

Louise Mary Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1691 The Alameda, San Jose, CA 95126 Phone: 408-287-7526 Fax: 408-971-6963
Jodie Sugiyama, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4850 Union Ave, San Jose, CA 95124 Phone: 408-559-5600
Kera Njenga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Skytop St Apt 107, San Jose, CA 95134 Phone: 443-827-2023
Laura J Ohara, R.N., P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2577 Samaritan Drive, Suite 815, San Jose, CA 95124 Phone: 408-358-3573
Julie Dutton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 Atherton Ave Ste 101, San Jose, CA 95130 Phone: 408-963-2400 Fax: 408-963-2472
Thu Lan T Pham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000
Jenney Leem Lam, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Jose Figueres Ave Ste 255, San Jose, CA 95116 Phone: 408-223-7474 Fax: 408-223-9339

Shannon Dockham, FNP-C - Medicare Nurse Practitioner in San Jose, CA