Shannon M Beasley, CPNP, PHN, CDE in Minneapolis, MN

Shannon M Beasley, CPNP, PHN, CDE is a medicare enrolled "Nurse Practitioner - Pediatrics" in Minneapolis, Minnesota. Her current practice location is 516 Delaware St. Se, Pwb Room 7-111, Mmc 504, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 626-5609.

Shannon M Beasley is licensed to practice in Minnesota (license number 3938) 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 1659409563.

Contact Information

	Shannon M Beasley, CPNP, PHN, CDE
	516 Delaware St. Se, Pwb Room 7-111, Mmc 504, Minneapolis, MN 55455
	(612) 626-5609
	(612) 626-5206

Map and Direction

Provider's Profile

Full Name	Shannon M Beasley
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	516 Delaware St. Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659409563
Provider Enumeration Date: 03/01/2007
Last Update Date: 12/04/2019

Medicare PECOS Information:

PECOS PAC ID: 5193030021
Enrollment ID: I20150820011218

Medical Identifiers

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

Identifier	Type	State	Issuer
1659409563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	3938 (Minnesota)	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 M Beasley allows following entities to bill medicare on her behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	University Of Minnesota Health Clinics And Surgery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524

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 M Beasley 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 M Beasley, CPNP, PHN, CDE 516 Delaware St. Se, Pwb Room 7-111, Mmc 504, Minneapolis, MN 55455 Ph: (612) 626-5609	Shannon M Beasley, CPNP, PHN, CDE 516 Delaware St. Se, Pwb Room 7-111, Mmc 504, Minneapolis, MN 55455 Ph: (612) 626-5609

Reviews and Comments

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Shannon M Beasley, CPNP, PHN, CDE - Medicare Nurse Practitioner in Minneapolis, MN