Shannon Grace Chittenden, APRN-CNP in Gilbert, AZ

Shannon Grace Chittenden, APRN-CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Gilbert, Arizona. Her current practice location is 115 E Williams Field Rd Ste 101, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 270-8318.

Shannon Grace Chittenden is licensed to practice in Arizona (license number 235623) 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 1356947550.

Contact Information

	Shannon Grace Chittenden, APRN-CNP
	115 E Williams Field Rd Ste 101, Gilbert, AZ 85295-5231
	(480) 270-8318
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Grace Chittenden
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	115 E Williams Field Rd Ste 101, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356947550
Provider Enumeration Date: 12/11/2020
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5890184790
Enrollment ID: I20211116000011

Medical Identifiers

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

Identifier	Type	State	Issuer
1356947550	NPI	-	NPPES
235623	Other	AZ	ARIZONA BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	235623 (Arizona)	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 Grace Chittenden allows following entities to bill medicare on her behalf.

Entity Name	Gilbert Physical Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265708317 PECOS PAC ID: 2466697982 Enrollment ID: O20130403000425

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 Grace Chittenden 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 Grace Chittenden, APRN-CNP 115 E Williams Field Rd Ste 101, Gilbert, AZ 85295-5231 Ph: (515) 360-9127	Shannon Grace Chittenden, APRN-CNP 115 E Williams Field Rd Ste 101, Gilbert, AZ 85295-5231 Ph: (480) 270-8318

Reviews and Comments

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Shannon Grace Chittenden, APRN-CNP - Medicare Nurse Practitioner in Gilbert, AZ