Shannon Pratt, is a
Student In An Organized Health Care Education/training Program based in Hauppauge, New York. Shannon Pratt is licensed to practice in * (Not Available) (license number ) and her current practice location is
111 Smithtown Byp Ste 205, Hauppauge, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 325-7755.
NPI number for Shannon Pratt is 1477314698 and her current mailing address is Po Box 125, Manorville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477314698.
Healthcare Provider's Profile
Full Name | Shannon Pratt |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 111 Smithtown Byp Ste 205, Hauppauge, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477314698
- Provider Enumeration Date: 01/16/2024
- Last Update Date: 01/16/2024
Medical Identifiers
Medical identifiers for Shannon Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477314698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Shannon Pratt 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 |
Shannon Pratt, Po Box 125, Manorville, NY 11949-0125 Ph: (631) 325-7755 | Shannon Pratt, 111 Smithtown Byp Ste 205, Hauppauge, NY 11788-2512 Ph: (631) 325-7755 |
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