Dr Shannon Marie Barsema, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Clearwater, Florida. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Baycare Medical Group, Inc. and her current practice location is
430 Morton Plant St, Suite 402, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 461-8635.
Dr Shannon Marie Barsema is licensed to practice in Florida (license number PY 9339) 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 1104180280.
Healthcare Provider's Profile
| Full Name | Dr Shannon Marie Barsema |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 430 Morton Plant St, Clearwater, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shannon Marie Barsema graduated from medical school in 2010
NPI Data:
- NPI Number: 1104180280
- Provider Enumeration Date: 07/03/2012
- Last Update Date: 03/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325294226
- Enrollment ID: I20160808000710
Medical Identifiers
Medical identifiers for Dr Shannon Marie Barsema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104180280 | NPI | - | NPPES |
| P01713937 | Other | FL | RAILROAD MEDICARE PROVIDER NUMBER |
| 023608600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0700X | Psychologist - Adult Development & Aging | PY 9339 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY 9339 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY 9339 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Baycare Medical Group, Inc. | 6406753623 | 1010 |
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 Marie Barsema allows following entities to bill medicare on her behalf.
| Entity Name | Baycare Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043269871
PECOS PAC ID: 6406753623
Enrollment ID: O20031216000718 |
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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. Dr Shannon Marie Barsema 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 Marie Barsema, PHD
430 Morton Plant St Ste 401,
Clearwater, FL 33756-3394
Ph: (727) 298-6025 | Dr Shannon Marie Barsema, PHD
430 Morton Plant St, Suite 402,
Clearwater, FL 33756-3398
Ph: (727) 461-8635 |
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