Dr Paul Jason Shannon, MD is a medicare enrolled "Urology" physician in Huntington, New York. He went to University Of Mississippi School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Urology. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is
21 Southdown Rd, Huntington, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 351-3763.
Dr Paul Jason Shannon is licensed to practice in New York (license number 263190) 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 1851562342.
Physician's Profile
Full Name | Dr Paul Jason Shannon |
---|
Gender | Male |
---|
Speciality | Urology |
---|
Experience | 21 Years |
---|
Location | 21 Southdown Rd, Huntington, New York |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Paul Jason Shannon attended and graduated from University Of Mississippi School Of Medicine in 2003
NPI Data:
- NPI Number: 1851562342
- Provider Enumeration Date: 03/12/2008
- Last Update Date: 10/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 4981777075
- Enrollment ID: I20080723000249
Medical Identifiers
Medical identifiers for Dr Paul Jason Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851562342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 19650 (Mississippi) | Secondary |
208800000X | Urology | 263190 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Memorial Hospital At Gulfport | 2466524012 | 385 |
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. Dr Paul Jason Shannon allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital At Gulfport |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
---|
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. Dr Paul Jason 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 Address | Practice Location Address |
Dr Paul Jason Shannon, MD 21 Southdown Rd, Huntington, NY 11743-2538 Ph: (631) 351-3763 | Dr Paul Jason Shannon, MD 21 Southdown Rd, Huntington, NY 11743-2538 Ph: (631) 351-3763 |
Reviews and Comments