Dr Kelly Shannon, OD in Corvallis, OR - Medicare Optometry Provider

Dr Kelly Shannon, OD is a medicare enrolled "Optometrist" provider in Corvallis, Oregon. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Optometry. He is a member of the group practice All Family Vision Llc and his current practice location is 1597 Sw 53rd St, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 757-8844.

Dr Kelly Shannon is licensed to practice in Oregon (license number 4059AT) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760937510.

Contact Information

	Dr Kelly Shannon, OD
	1597 Sw 53rd St, Corvallis, OR 97333-2630
	(541) 757-8844
	(541) 754-9810

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly Shannon
Gender	Male
Speciality	Optometry
Experience	9 Years
Location	1597 Sw 53rd St, Corvallis, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly Shannon graduated from medical school in 2016

NPI Data:

NPI Number: 1760937510
Provider Enumeration Date: 08/22/2016
Last Update Date: 08/22/2016

Medicare PECOS Information:

PECOS PAC ID: 3375830425
Enrollment ID: I20160919000012

Medical Identifiers

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

Identifier	Type	State	Issuer
1760937510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4059AT (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
All Family Vision Llc	5890955413	6

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. Dr Kelly Shannon allows following entities to bill medicare on his behalf.

Provider Name	All Family Vision Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255600763 PECOS PAC ID: 5890955413 Enrollment ID: O20120319000779

Provider Name	Optometric Care Of Oregon
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396400313 PECOS PAC ID: 4284014465 Enrollment ID: O20220706000625

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. Dr Kelly 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
Dr Kelly Shannon, OD 1597 Sw 53rd St, Corvallis, OR 97333-2630 Ph: (541) 757-8844	Dr Kelly Shannon, OD 1597 Sw 53rd St, Corvallis, OR 97333-2630 Ph: (541) 757-8844

Reviews and Comments

Optometrist in Corvallis, OR

Dr. Douglas Patrick Crotty, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Sw 3rd St, Corvallis, OR 97333 Phone: 541-757-1120 Fax: 541-757-9741
Carli Anne Bunn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Nw Century Dr, Corvallis, OR 97330 Phone: 541-752-4622
Rebecca Macdow, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1597 Sw 53rd St, Corvallis, OR 97333 Phone: 541-757-8844 Fax: 541-754-9810
Lisa Fougere Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1329 Nw 9th St Ste 135, Corvallis, OR 97330 Phone: 541-220-1200 Fax: 541-225-4705
Dr. James Ross Hale, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1505 Nw Harrison Blvd, Corvallis, OR 97330 Phone: 541-754-6222 Fax: 541-757-2055
Mr. Matthew Pierson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1597 Sw 53rd St, Corvallis, OR 97333 Phone: 541-757-8844
Corvallis Vision Cneter P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Sw 3rd St, Corvallis, OR 97333 Phone: 541-757-1120 Fax: 541-757-9741

Dr Kelly Shannon, OD - Medicare Optometrist in Corvallis, OR