Shannon Ray, PA-C is a medicare enrolled "Physician Assistant" in Makawao, Hawaii. Her current practice location is
1120a Makawao Ave, Makawao, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 573-2222.
Shannon Ray is licensed to practice in Hawaii (license number AMD221) 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 1366492860.
Provider's Profile
Full Name | Shannon Ray |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1120a Makawao Ave, Makawao, Hawaii |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366492860
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 08/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759353568
- Enrollment ID: I20040811001197
Medical Identifiers
Medical identifiers for Shannon Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366492860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | AMD221 (Hawaii) | 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 Ray 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 Ray, PA-C 64-1032 Mamalahoa Hwy, Ste 306, Kamuela, HI 96743-8441 Ph: (808) 969-1427 | Shannon Ray, PA-C 1120a Makawao Ave, Makawao, HI 96768-9448 Ph: (808) 573-2222 |
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