Mrs Shannon Rae Erickson, MED, CCC-SLP is a
Speech-language Pathologist based in Kemah, Texas. Mrs Shannon Rae Erickson is licensed to practice in Texas (license number 113334) and her current practice location is
800 Mariners Dr, Kemah, Texas. She can be reached at her office (for appointments etc.) via phone at
(970) 335-8115.
NPI number for Mrs Shannon Rae Erickson is 1326003153 and her current mailing address is 2951 Marina Bay Dr Ste 130-577, League City, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326003153.
Healthcare Provider's Profile
| Full Name | Mrs Shannon Rae Erickson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 800 Mariners Dr, Kemah, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326003153
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 06/04/2018
Medical Identifiers
Medical identifiers for Mrs Shannon Rae Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326003153 | NPI | - | NPPES |
| 5U956 | Other | AR | BLUE CROSS |
| 142860721 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 0001761 (Colorado) | Secondary |
| 235Z00000X | Speech-language Pathologist | 4412 (New Mexico) | Secondary |
| 235Z00000X | Speech-language Pathologist | 113334 (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. Mrs Shannon Rae Erickson 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 |
|---|
Mrs Shannon Rae Erickson, MED, CCC-SLP
2951 Marina Bay Dr Ste 130-577,
League City, TX 77573-2735
Ph: (970) 335-8115 | Mrs Shannon Rae Erickson, MED, CCC-SLP
800 Mariners Dr,
Kemah, TX 77565
Ph: (970) 335-8115 |
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