Jean R Shannon, is a
Occupational Therapist based in Bristol, Wisconsin. Jean R Shannon is licensed to practice in Wisconsin (license number 1849-19) and her current practice location is
19010 93rd St, Bristol, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 891-3359.
NPI number for Jean R Shannon is 1508683103 and her current mailing address is 19010 93rd St, Bristol, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508683103.
Healthcare Provider's Profile
Full Name | Jean R Shannon |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 19010 93rd St, Bristol, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508683103
- Provider Enumeration Date: 09/24/2024
- Last Update Date: 09/24/2024
Medical Identifiers
Medical identifiers for Jean R Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508683103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 1849-19 (Wisconsin) | 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. Jean R Shannon 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 |
Jean R Shannon, 19010 93rd St, Bristol, WI 53104-9611 Ph: (262) 891-3359 | Jean R Shannon, 19010 93rd St, Bristol, WI 53104-9611 Ph: (262) 891-3359 |
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