Tracy Shannon, in Jersey City, NJ - Medicare Nurse Practitioner

Tracy Shannon, is a medicare enrolled "Nurse Practitioner - Family" in Jersey City, New Jersey. Her current practice location is 75 Montgomery St Fl 603, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 433-1955.

Tracy Shannon is licensed to practice in New York (license number 345858) 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 1992391320.

Contact Information

	Tracy Shannon,
	75 Montgomery St Fl 603, Jersey City, NJ 07302-3726
	(201) 433-1955
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy Shannon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	75 Montgomery St Fl 603, Jersey City, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992391320
Provider Enumeration Date: 12/20/2020
Last Update Date: 07/02/2021

Medicare PECOS Information:

PECOS PAC ID: 7719325794
Enrollment ID: I20240410001048

Medical Identifiers

Medical identifiers for Tracy Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992391320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	345858 (New York)	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. Tracy Shannon allows following entities to bill medicare on her behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569

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. Tracy Shannon 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
Tracy Shannon, 75 Montgomery St Fl 603, Jersey City, NJ 07302-3726 Ph: (201) 433-1955	Tracy Shannon, 75 Montgomery St Fl 603, Jersey City, NJ 07302-3726 Ph: (201) 433-1955

Reviews and Comments

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Tracy Shannon, - Medicare Nurse Practitioner in Jersey City, NJ