Logan T Shannon, DPM in Sarasota, FL - Medicare Podiatry Provider

Logan T Shannon, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Sarasota, Florida. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Intercoastal Medical Group Inc and his current practice location is 943 S Beneva Rd Ste 113, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 316-0133.

Logan T Shannon is licensed to practice in Florida (license number PO4392) 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 1548757800.

Contact Information

	Logan T Shannon, DPM
	943 S Beneva Rd Ste 113, Sarasota, FL 34232-2471
	(941) 316-0133
	(941) 957-3641

Map and Direction

Healthcare Provider's Profile

Full Name	Logan T Shannon
Gender	Male
Speciality	Podiatry
Experience	6 Years
Location	943 S Beneva Rd Ste 113, Sarasota, Florida
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:

Logan T Shannon graduated from medical school in 2018

NPI Data:

NPI Number: 1548757800
Provider Enumeration Date: 04/21/2018
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 5395144166
Enrollment ID: I20220711001098

Medical Identifiers

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

Identifier	Type	State	Issuer
1548757800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	0103301320 (Virginia)	Secondary
213ES0131X	Podiatrist - Foot Surgery	0103301320 (Virginia)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO4392 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sarasota Memorial Hospital	Sarasota, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intercoastal Medical Group Inc	6305730912	160

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. Logan T Shannon allows following entities to bill medicare on his behalf.

Provider Name	Intercoastal Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578537767 PECOS PAC ID: 6305730912 Enrollment ID: O20040212000600

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. Logan T 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
Logan T Shannon, DPM 943 S Beneva Rd Ste 306, Sarasota, FL 34232-2499 Ph: (941) 955-1108	Logan T Shannon, DPM 943 S Beneva Rd Ste 113, Sarasota, FL 34232-2471 Ph: (941) 316-0133

Reviews and Comments

Podiatrist in Sarasota, FL

Neil J Warren Dpm Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 428 E Lake Dr, Sarasota, FL 34232 Phone: 941-906-1050 Fax: 941-906-1049
Accredited Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 4717 Swift Rd, Sarasota, FL 34231 Phone: 941-929-1234 Fax: 941-929-3668
Dr. Dawn W Chiu, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3428 17th St, Sarasota, FL 34235 Phone: 941-366-4888 Fax: 941-366-4889
Mathew Mehrdad Moshirfar Dpm Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 2190 Gulf Gate Dr, Sarasota, FL 34231 Phone: 941-921-5521 Fax: 941-927-0609
Tyler J Verdoni, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5741 Bee Ridge Rd Ste 490, Sarasota, FL 34233 Phone: 941-924-8777 Fax: 941-924-5888
Dr. Stephanie Juliet Stewart, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 4801 Swift Rd, Suite F, Sarasota, FL 34231 Phone: 941-921-3000 Fax: 941-921-3066
Advanced Foot And Ankle Care, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 4801 Swift Rd, Suite F, Sarasota, FL 34231 Phone: 941-921-3000 Fax: 941-921-3066

Logan T Shannon, DPM - Medicare Podiatrist in Sarasota, FL