Shannon Elizabeth Shepherd, CNM is a medicare enrolled "Advanced Practice Midwife" in Sidney, Montana. Her current practice location is
216 14th Ave Sw, Sidney, Montana. You can reach out to her office (for appointments etc.) via phone at
(401) 488-2100.
Shannon Elizabeth Shepherd is licensed to practice in Montana (license number 253199) 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 1114904976.
Provider's Profile
Full Name | Shannon Elizabeth Shepherd |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 216 14th Ave Sw, Sidney, Montana |
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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: 1114904976
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012938665
- Enrollment ID: I20120607000267
Medical Identifiers
Medical identifiers for Shannon Elizabeth Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114904976 | NPI | - | NPPES |
765509669A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | APRN9341130 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | APRN11010478 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | 253199 (Montana) | 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 Elizabeth Shepherd allows following entities to bill medicare on her behalf.
Entity Name | Florida Hospital Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
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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 Elizabeth Shepherd 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 Elizabeth Shepherd, CNM 216 14th Ave Sw, Sidney, MT 59270-3519 Ph: (406) 488-2100 | Shannon Elizabeth Shepherd, CNM 216 14th Ave Sw, Sidney, MT 59270-3519 Ph: (401) 488-2100 |
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