Shannon L Wilson, CNM is a medicare enrolled "Advanced Practice Midwife" in East Stroudsburg, Pennsylvania. Her current practice location is
175 E Brown St, Suite 113, East Stroudsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 421-3401.
Shannon L Wilson is licensed to practice in Pennsylvania (license number MW010264) 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 1629344981.
Provider's Profile
| Full Name | Shannon L Wilson |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 175 E Brown St, East Stroudsburg, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629344981
- Provider Enumeration Date: 03/30/2012
- Last Update Date: 03/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 8820251028
- Enrollment ID: I20120529000069
Medical Identifiers
Medical identifiers for Shannon L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629344981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | MW010264 (Pennsylvania) | 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 L Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Family Care Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497 |
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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 L Wilson 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 |
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Shannon L Wilson, CNM
206 E Brown St, Pocono Healthcare Management,
East Stroudsburg, PA 18301-3006
Ph: (570) 420-4951 | Shannon L Wilson, CNM
175 E Brown St, Suite 113,
East Stroudsburg, PA 18301-3098
Ph: (570) 421-3401 |
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