Shannon Mary Dicenso, LPN is a
Licensed Practical Nurse based in Blackstone, Massachusetts. Shannon Mary Dicenso is licensed to practice in Massachusetts (license number LN89314) and her current practice location is
12 Glenside Dr, Blackstone, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 201-6759.
NPI number for Shannon Mary Dicenso is 1730939901 and her current mailing address is 12 Glenside Dr, Blackstone, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730939901.
Provider's Profile
Full Name | Shannon Mary Dicenso |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 12 Glenside Dr, Blackstone, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730939901
- Provider Enumeration Date: 03/22/2024
- Last Update Date: 03/22/2024
Medical Identifiers
Medical identifiers for Shannon Mary Dicenso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730939901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LN89314 (Massachusetts) | 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 Mary Dicenso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Mary Dicenso, LPN 12 Glenside Dr, Blackstone, MA 01504-1548 Ph: (617) 201-6759 | Shannon Mary Dicenso, LPN 12 Glenside Dr, Blackstone, MA 01504-1548 Ph: (617) 201-6759 |
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