Shannon Mumper, OT is a medicare enrolled "Specialist" provider in Boone, North Carolina. Her current practice location is
450 New Market Blvd Ste 3, Boone, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 355-9584.
Shannon Mumper is licensed to practice in North Carolina (license number 13474) 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 1619580594.
Healthcare Provider's Profile
| Full Name | Shannon Mumper |
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| Gender | Female |
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| Speciality | Specialist |
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| Location | 450 New Market Blvd Ste 3, Boone, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619580594
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 03/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113345943
- Enrollment ID: I20200910002848
Medical Identifiers
Medical identifiers for Shannon Mumper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619580594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 13474 (North Carolina) | Secondary |
| 174400000X | Specialist | 13474 (North Carolina) | 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 Mumper allows following entities to bill medicare on her behalf.
| Provider Name | Healthy Lymphatics Of Nc Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437314077
PECOS PAC ID: 8426192212
Enrollment ID: O20100217000355 |
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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 Mumper 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 Mumper, OT
450 New Market Blvd Ste 3,
Boone, NC 28607-5501
Ph: () - | Shannon Mumper, OT
450 New Market Blvd Ste 3,
Boone, NC 28607-5501
Ph: (828) 355-9584 |
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