Shawna Renee Carbonniere, PA - Medicare Physician Assistant in Prescott, AZ

Shawna Renee Carbonniere, PA is a medicare enrolled "Physician Assistant - Medical" in Prescott, Arizona. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Black Canyon Community Health Center Inc. and her current practice location is 3110 Clearwater Dr Ste B, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 516-8252.

Shawna Renee Carbonniere is licensed to practice in Arizona (license number 3516) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265557060.

Contact Information

Shawna Renee Carbonniere, PA
3110 Clearwater Dr Ste B,
Prescott, AZ 86305-7177
(623) 516-8252
(623) 516-8253

Map and Direction




Provider's Profile

Full NameShawna Renee Carbonniere
GenderFemale
SpecialityPhysician Assistant
Experience18 Years
Location3110 Clearwater Dr Ste B, Prescott, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shawna Renee Carbonniere graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1265557060
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 05/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406936475
  • Enrollment ID: I20080103000090

Medical Identifiers

Medical identifiers for Shawna Renee Carbonniere such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265557060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 3516 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yavapai Regional Medical CenterPrescott, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Black Canyon Community Health Center Inc.64069003314

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. Shawna Renee Carbonniere 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 AddressPractice Location Address
Shawna Renee Carbonniere, PA
5281 N 99th Ave Ste 100,
Glendale, AZ 85305-2209

Ph: (623) 516-8252
Shawna Renee Carbonniere, PA
3110 Clearwater Dr Ste B,
Prescott, AZ 86305-7177

Ph: (623) 516-8252

Reviews and Comments


Physician Assistant Nurses in Prescott, AZ

Mr. Joseph Paul Maidl, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1998 Prescott Lakes Pkwy Apt 250, Prescott, AZ 86301
Phone: 405-795-7784    
Mr. Matthew Alexander Namihas, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 802 Ainsworth Dr, Suite A, Prescott, AZ 86301
Phone: 928-776-0601    Fax: 928-776-0620
Victoria Wood, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 500 N Us Highway 89, Prescott, AZ 86313
Phone: 928-717-7413    
Jamie Jarvis, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301
Phone: 928-445-2700    
Holly Dae Stewart,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3655 Crossings Dr, Prescott, AZ 86305
Phone: 928-778-9250    Fax: 928-778-2306
Marie Irene Thomas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3655 Crossings Dr, Prescott, AZ 86305
Phone: 928-778-9250    Fax: 928-778-2306
William Clark,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1042 Willow Creek Rd, Prescott, AZ 86301
Phone: 928-379-0838    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.