Shannon Elizabeth Potter, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Newfields, New Hampshire. Her current practice location is
1 Railroad Ave, Newfields, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 810-0002.
Shannon Elizabeth Potter is licensed to practice in New Hampshire (license number 080466-21) 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 1033824693.
Provider's Profile
Full Name | Shannon Elizabeth Potter |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1 Railroad Ave, Newfields, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033824693
- Provider Enumeration Date: 01/18/2023
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608230552
- Enrollment ID: I20230912001352
Medical Identifiers
Medical identifiers for Shannon Elizabeth Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033824693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 080466-21 (New Hampshire) | Secondary |
363LF0000X | Nurse Practitioner - Family | 080466-21 (New Hampshire) | 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 Elizabeth Potter allows following entities to bill medicare on her behalf.
Entity Name | Convenientmd - Ffs Uc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851082291 PECOS PAC ID: 5193186492 Enrollment ID: O20230803000905 |
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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 Elizabeth Potter 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 Elizabeth Potter, FNP-BC 1 Railroad Ave, Newfields, NH 03856-8406 Ph: (603) 810-0002 | Shannon Elizabeth Potter, FNP-BC 1 Railroad Ave, Newfields, NH 03856-8406 Ph: (603) 810-0002 |
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