Dr Shannon Connell, PHD in Holland, MI - Medicare Clinical Psychologist Provider

Dr Shannon Connell, PHD is a medicare enrolled "Psychologist - Clinical" provider in Holland, Michigan. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 36 W 8th St Ste 200, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 396-4846.

Dr Shannon Connell is licensed to practice in Michigan (license number 6301018872) 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 1366685141.

Contact Information

	Dr Shannon Connell, PHD
	36 W 8th St Ste 200, Holland, MI 49423-2702
	(616) 396-4846
	(616) 396-4846

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shannon Connell
Gender	Female
Speciality	Clinical Psychologist
Experience	5 Years
Location	36 W 8th St Ste 200, Holland, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shannon Connell graduated from medical school in 2019

NPI Data:

NPI Number: 1366685141
Provider Enumeration Date: 04/09/2009
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 0547667537
Enrollment ID: I20210917000304

Medical Identifiers

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

Identifier	Type	State	Issuer
1366685141	NPI	-	NPPES
1912452	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301018872 (Michigan)	Primary
103TC1900X	Psychologist - Counseling	6301013914 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6301013914 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301013914 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301013914 (Massachusetts)	Secondary

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 Shannon Connell allows following entities to bill medicare on her behalf.

Entity Name	Shannon Connell Phd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457020877 PECOS PAC ID: 9931506037 Enrollment ID: O20210915003810

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 Shannon Connell 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 Shannon Connell, PHD 36 W 8th St Ste 200, Holland, MI 49423-2702 Ph: (166) 396-4846	Dr Shannon Connell, PHD 36 W 8th St Ste 200, Holland, MI 49423-2702 Ph: (616) 396-4846

Reviews and Comments

Psychologist in Holland, MI

Mr. Joseph Andrew Bechard, MSW EDS LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 West 8th Street, Suite 250 Center For Psycho Educational Services, Holland, MI 49423 Phone: 616-836-9636 Fax: 616-393-0903
Ms. Kathleen D. Smith, PSYCHOLOGIST LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12265 James St, Holland, MI 49424 Phone: 616-494-5698 Fax: 616-393-5687
Brianna Taylor, LPC, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 854 Washington Ave Ste 600, Holland, MI 49423 Phone: 616-499-2218
Diego Castro Franco, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd, Holland, MI 49423 Phone: 616-591-9400
Matthew Warren Bush, MA, LLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 926 S Washington Ave, Holland, MI 49423 Phone: 616-820-3780
Jesi Nicole Sortwell, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd Ste 10, Holland, MI 49423 Phone: 616-591-9000
James Henry Hoeksema, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 E 8th St, Suite 2, Holland, MI 49423 Phone: 616-355-0473 Fax: 616-355-0480

Dr Shannon Connell, PHD - Medicare Psychologist in Holland, MI