Shannon Seymour, - Medicare Optometrist in Forest Grove, OR

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Shannon Seymour, is a medicare enrolled "Optometrist" provider in Forest Grove, Oregon. She went to Pacific University - College Of Optometry and graduated in 2017 and has 8 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Professional Provider Enterprise Llc, Professional Provider Enterprise Llc and her current practice location is 2043 College Way, Forest Grove, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 352-2202.

Shannon Seymour is licensed to practice in Oregon (license number ATI-4297) 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 1043664071.

Contact Information

Shannon Seymour,
2043 College Way,
Forest Grove, OR 97116
(503) 352-2202
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Seymour
GenderFemale
SpecialityOptometry
Experience8 Years
Location2043 College Way, Forest Grove, Oregon
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:
  • Shannon Seymour attended and graduated from Pacific University - College Of Optometry in 2017
  NPI Data:
  • NPI Number: 1043664071
  • Provider Enumeration Date: 04/15/2016
  • Last Update Date: 07/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6608147814
  • Enrollment ID: I20170807002434

Medical Identifiers

Medical identifiers for Shannon Seymour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043664071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4297ATI (Oregon)Secondary
152W00000XOptometrist ATI-4297 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Professional Provider Enterprise Llc08404586679
Professional Provider Enterprise Llc08404586679

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 Seymour allows following entities to bill medicare on her behalf.
Provider NameProfessional Provider Enterprise Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770852196
PECOS PAC ID: 0840458667
Enrollment ID: O20120410000174
Provider NameQuest Mobile Vision Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1760080105
PECOS PAC ID: 4183034960
Enrollment ID: O20201105002459

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 Seymour 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
Shannon Seymour,
2043 College Way,
Forest Grove, OR 97116-1756

Ph: () -		Shannon Seymour,
2043 College Way,
Forest Grove, OR 97116

Ph: (503) 352-2202

Reviews and Comments


Optometrist in Forest Grove, OR

Dr. Kelvin Kiu Wing So, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2043 College Way, Forest Grove, OR 97116
Phone: 503-880-1381    
Dr. Beth Toshiko Kinoshita, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2043 College Way, Forest Grove, OR 97116
Phone: 503-352-3140    Fax: 503-352-2929
Dr. Shannon Cathleen Lutz, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2043 College Way, Forest Grove, OR 97116
Phone: 503-352-2208    
Dr. Aldrin Marcus Santamaria, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2043 College Way, Forest Grove, OR 97116
Phone: 503-352-2020    
Jing Huang, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2043 College Way, Pacific University Optometry College, Forest Grove, OR 97116
Phone: 925-698-7120    
Timothy Allen Speck, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2144 Hawthorne St, Apt 56, Forest Grove, OR 97116
Phone: 217-416-9452    

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.