Mrs Shannon Taylor Lavender Cook, MSN, FNP-C in South Charleston, WV

Mrs Shannon Taylor Lavender Cook, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in South Charleston, West Virginia. Her current practice location is 4825 Maccorkle Ave Sw Ste A, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 400-4700.

Mrs Shannon Taylor Lavender Cook is licensed to practice in West Virginia (license number 104481) 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 1659159564.

Contact Information

	Mrs Shannon Taylor Lavender Cook, MSN, FNP-C
	4825 Maccorkle Ave Sw Ste A, South Charleston, WV 25309-1365
	(304) 400-4700
	(304) 400-4635

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Taylor Lavender Cook
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4825 Maccorkle Ave Sw Ste A, South Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659159564
Provider Enumeration Date: 09/20/2023
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 8123474996
Enrollment ID: I20231031000539

Medical Identifiers

Medical identifiers for Mrs Shannon Taylor Lavender Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659159564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	104481 (West Virginia)	Primary
163W00000X	Registered Nurse	104481 (West Virginia)	Secondary

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. Mrs Shannon Taylor Lavender Cook allows following entities to bill medicare on her behalf.

Entity Name	Charleston Nephrology Hypertension And Transplant Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003017823 PECOS PAC ID: 0042301814 Enrollment ID: O20070808000398

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 Taylor Lavender Cook 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
Mrs Shannon Taylor Lavender Cook, MSN, FNP-C 4825 Maccorkle Ave Sw Ste A, South Charleston, WV 25309-1365 Ph: (304) 400-4700	Mrs Shannon Taylor Lavender Cook, MSN, FNP-C 4825 Maccorkle Ave Sw Ste A, South Charleston, WV 25309-1365 Ph: (304) 400-4700

Reviews and Comments

Nurse Practitioner Nurses in South Charleston, WV

Yvonne Kay Snyder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417
Amy Kathryn Haught, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 7th Ave, South Charleston, WV 25303 Phone: 304-345-2255 Fax: 304-345-2112
Benjamin P Rice, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw Ste 406, South Charleston, WV 25309 Phone: 304-766-4342 Fax: 304-766-3541
Ms. Lisa Marie Mcclure, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Poplar St, Suite 202, South Charleston, WV 25309 Phone: 304-346-2121 Fax: 304-346-2176
Jamie Spencer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4619 Kanawha Ave Sw, South Charleston, WV 25309 Phone: 304-400-4545
Rebecca J Donohoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4820 Kentucky St, South Charleston, WV 25309 Phone: 304-720-0390 Fax: 304-720-0391
Steven Lee Jarvis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1563 Sand Plant Rd, South Charleston, WV 25309 Phone: 304-756-1500 Fax: 304-756-1548

Mrs Shannon Taylor Lavender Cook, MSN, FNP-C - Medicare Nurse Practitioner in South Charleston, WV