Shannon K Malloy, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oakbrook, Illinois. She went to Rush Medical College Of Rush University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Independent Physicians Network Pllc and her current practice location is
1301 W. 22nd Street Ste 610, Continental Anesthesia, Oakbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 537-1720.
Shannon K Malloy is licensed to practice in Illinois (license number 209012324) 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 1811395155.
Provider's Profile
Full Name | Shannon K Malloy |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 10 Years |
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Location | 1301 W. 22nd Street Ste 610, Oakbrook, Illinois |
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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 K Malloy attended and graduated from Rush Medical College Of Rush University in 2014
NPI Data:
- NPI Number: 1811395155
- Provider Enumeration Date: 12/19/2014
- Last Update Date: 12/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 7719203173
- Enrollment ID: I20210709000891
Medical Identifiers
Medical identifiers for Shannon K Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811395155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 209012324 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Independent Physicians Network Pllc | 5496029407 | 136 |
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 K Malloy allows following entities to bill medicare on her behalf.
Entity Name | Westlake Anesthesia Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679511307 PECOS PAC ID: 4981607405 Enrollment ID: O20060822000436 |
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Entity Name | Independent Physicians Network Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396274676 PECOS PAC ID: 5496029407 Enrollment ID: O20170914001408 |
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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 K Malloy 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 K Malloy, CRNA 900 N. Kingsbury Street Unit 967, Chicago, IL 60610 Ph: (773) 531-6923 | Shannon K Malloy, CRNA 1301 W. 22nd Street Ste 610, Continental Anesthesia, Oakbrook, IL 60523 Ph: (630) 537-1720 |
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