Shannon Marie Bennett, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Rockville Centre, New York. Her current practice location is
132 Linden St, Rockville Centre, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 341-2815.
Shannon Marie Bennett is licensed to practice in * (Not Available) (license number ) 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 1245902493.
Provider's Profile
| Full Name | Shannon Marie Bennett |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 132 Linden St, Rockville Centre, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1245902493
- Provider Enumeration Date: 10/05/2021
- Last Update Date: 02/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032575907
- Enrollment ID: I20230518002161
Medical Identifiers
Medical identifiers for Shannon Marie Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245902493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Marie Bennett 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 Marie Bennett,
132 Linden St,
Rockville Centre, NY 11570-2534
Ph: () - | Shannon Marie Bennett,
132 Linden St,
Rockville Centre, NY 11570-2534
Ph: (646) 341-2815 |
Reviews and Comments