Dr Shannon Nicole Walker, PHD is a medicare enrolled "Psychologist - Clinical" provider in Glen Carbon, Illinois. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Southern Il Institute Of Behavioral Health Pc and her current practice location is
9 Junction Dr W, Suite 6, Glen Carbon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 710-4123.
Dr Shannon Nicole Walker is licensed to practice in Illinois (license number 071.007664) 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 1801020573.
Healthcare Provider's Profile
Full Name | Dr Shannon Nicole Walker |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 17 Years |
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Location | 9 Junction Dr W, Glen Carbon, Illinois |
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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. |
Medical Education and Training:
- Dr Shannon Nicole Walker graduated from medical school in 2007
NPI Data:
- NPI Number: 1801020573
- Provider Enumeration Date: 05/11/2009
- Last Update Date: 06/04/2012
Medicare PECOS Information:
- PECOS PAC ID: 8224160908
- Enrollment ID: I20100715000415
Medical Identifiers
Medical identifiers for Dr Shannon Nicole Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801020573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071.007664 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Il Institute Of Behavioral Health Pc | 8527190206 | 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 Shannon Nicole Walker allows following entities to bill medicare on her behalf.
Entity Name | Southern Il Institute Of Behavioral Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346562881 PECOS PAC ID: 8527190206 Enrollment ID: O20100715000368 |
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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 Nicole Walker 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 Nicole Walker, PHD 9 Junction Dr W, Suite 6, Glen Carbon, IL 62034-2931 Ph: (618) 710-4123 | Dr Shannon Nicole Walker, PHD 9 Junction Dr W, Suite 6, Glen Carbon, IL 62034-2931 Ph: (618) 710-4123 |
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