Michelle Shannon, is a
Psychologist - School based in Sussex, Virginia. Michelle Shannon is licensed to practice in Virginia (license number PPS-570100) and her current practice location is
21302 Sussex Drive Stony Creek,, Sussex, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 245-1099.
NPI number for Michelle Shannon is 1063230936 and her current mailing address is 21302 Sussex Dr, Stony Creek, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063230936.
Healthcare Provider's Profile
Full Name | Michelle Shannon |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 21302 Sussex Drive Stony Creek,, Sussex, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063230936
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 09/30/2024
Medical Identifiers
Medical identifiers for Michelle Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063230936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | PPS-570100 (Virginia) | 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. Michelle Shannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Shannon, 21302 Sussex Dr, Stony Creek, VA 23882-3751 Ph: () - | Michelle Shannon, 21302 Sussex Drive Stony Creek,, Sussex, VA 23882 Ph: (434) 245-1099 |
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