Mr Shannon Paul Weisz, PSYD, LAC - Medicare Psychologist in Bismarck, ND

Mr Shannon Paul Weisz, PSYD, LAC is a medicare enrolled "Psychologist" provider in Bismarck, North Dakota. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Missouri River Health and his current practice location is 309 N Mandan St, Suite #1, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 323-0924.

Mr Shannon Paul Weisz is licensed to practice in North Dakota (license number 470) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730254418.

Contact Information

Mr Shannon Paul Weisz, PSYD, LAC
309 N Mandan St, Suite #1,
Bismarck, ND 58501-3886
(701) 323-0924
(701) 323-0935

Map and Direction




Healthcare Provider's Profile

Full NameMr Shannon Paul Weisz
GenderMale
SpecialityClinical Psychologist
Experience13 Years
Location309 N Mandan St, Bismarck, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shannon Paul Weisz graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1730254418
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 07/22/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4587817465
  • Enrollment ID: I20121228000108

Medical Identifiers

Medical identifiers for Mr Shannon Paul Weisz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730254418NPI-NPPES
17326MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 470 (North Dakota)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 1549 (North Dakota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Missouri River Health06486843243

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. Mr Shannon Paul Weisz allows following entities to bill medicare on his behalf.
Entity NameChambers & Blohm Psychological
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114045465
PECOS PAC ID: 1456248004
Enrollment ID: O20040301000177
Entity NameMissouri River Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013513134
PECOS PAC ID: 0648684324
Enrollment ID: O20210121001544

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. Mr Shannon Paul Weisz 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 AddressPractice Location Address
Mr Shannon Paul Weisz, PSYD, LAC
309 N Mandan St, Suite #1,
Bismarck, ND 58501-3886

Ph: (701) 323-0924
Mr Shannon Paul Weisz, PSYD, LAC
309 N Mandan St, Suite #1,
Bismarck, ND 58501-3886

Ph: (701) 323-0924

Reviews and Comments


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Phone: 701-323-0924    Fax: 701-323-0935

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.