Patricia Jean Shannon, PHD, LP - Medicare Psychologist in Minneapolis, MN

Patricia Jean Shannon, PHD, LP is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Her current practice location is 3133 Hennepin Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 834-7780.

Patricia Jean Shannon is licensed to practice in Minnesota (license number 4075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053419796.

Contact Information

Patricia Jean Shannon, PHD, LP
3133 Hennepin Ave,
Minneapolis, MN 55408-2620
(612) 834-7780
(612) 624-3744

Map and Direction




Healthcare Provider's Profile

Full NamePatricia Jean Shannon
GenderFemale
SpecialityPsychologist
Location3133 Hennepin Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053419796
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 09/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2567445109
  • Enrollment ID: I20040612000383

Medical Identifiers

Medical identifiers for Patricia Jean Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053419796NPI-NPPES
921813100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 4075 (Minnesota)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. Patricia Jean 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 AddressPractice Location Address
Patricia Jean Shannon, PHD, LP
3108 Hennepin Ave,
Minneapolis, MN 55408-2619

Ph: (612) 825-4407
Patricia Jean Shannon, PHD, LP
3133 Hennepin Ave,
Minneapolis, MN 55408-2620

Ph: (612) 834-7780

Reviews and Comments


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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.

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