Kelly Shannon, PHD in San Antonio, TX - Medicare Clinical Psychologist Provider

Kelly Shannon, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Antonio, Texas. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 102 E Mulberry Ave, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 279-1516.

Kelly Shannon is licensed to practice in Texas (license number 2-3034) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1699874198.

Contact Information

	Kelly Shannon, PHD
	102 E Mulberry Ave, San Antonio, TX 78212-2946
	(210) 279-1516
	(210) 733-0141

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Shannon
Gender	Male
Speciality	Clinical Psychologist
Experience	45 Years
Location	102 E Mulberry Ave, San Antonio, Texas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Shannon graduated from medical school in 1979

NPI Data:

NPI Number: 1699874198
Provider Enumeration Date: 09/21/2006
Last Update Date: 03/24/2009

Medicare PECOS Information:

PECOS PAC ID: 9335111806
Enrollment ID: I20040806000528

Medical Identifiers

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

Identifier	Type	State	Issuer
1699874198	NPI	-	NPPES
H00088RY01	Other	TX	BCBS - TX
035931704	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2-3034 (Texas)	Primary

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. Kelly 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
Kelly Shannon, PHD Po Box 120041, San Antonio, TX 78212-9241 Ph: (210) 279-1516	Kelly Shannon, PHD 102 E Mulberry Ave, San Antonio, TX 78212-2946 Ph: (210) 279-1516

Reviews and Comments

Psychologist in San Antonio, TX

Dr. Trudi Zaplac, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8626 Tesoro Dr Ste 490, San Antonio, TX 78217 Phone: 210-202-0100
Joshua D Essery, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8535 Tom Slick, San Antonio, TX 78229 Phone: 210-616-0300
Dr. Jesus Aranda-cano, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Rd, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700
Dr. Nancy Sylvia L. Witt, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240 Phone: 210-615-3483 Fax: 210-593-9863
Dr. David R Zimmermann, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 616 W Russell Pl, San Antonio, TX 78212 Phone: 800-257-8715 Fax: 800-819-1655
Russel L Thompson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Road, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700 Fax: 210-587-2454
Jennifer Cleveland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 614 Walnut Hill St, San Antonio, TX 78232 Phone: 917-774-1335

Kelly Shannon, PHD - Medicare Psychologist in San Antonio, TX