Shannon Doherty, CRNA - Medicare Nurse Anesthetist, Certified Registered in Bingham Farms, MI

Shannon Doherty, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bingham Farms, Michigan. Her current practice location is 30200 Telegraph Rd, Suite 220, Bingham Farms, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 258-5058.

Shannon Doherty is licensed to practice in Michigan (license number 4704140193) 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 1295791580.

Contact Information

Shannon Doherty, CRNA
30200 Telegraph Rd, Suite 220,
Bingham Farms, MI 48025-4502
(248) 258-5058
Not Available

Map and Direction




Provider's Profile

Full NameShannon Doherty
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location30200 Telegraph Rd, Bingham Farms, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295791580
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 04/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9133196785
  • Enrollment ID: I20040913001244

Medical Identifiers

Medical identifiers for Shannon Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295791580NPI-NPPES
104838402MedicaidMI
P00311232OtherMIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704140193 (Michigan)Primary

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. Shannon Doherty allows following entities to bill medicare on her behalf.
Entity NameNorthstar Anesthesia Of Michigan Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437268026
PECOS PAC ID: 7911895164
Enrollment ID: O20040309000625
Entity NameSuperior Anesthetists Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831144518
PECOS PAC ID: 5890784987
Enrollment ID: O20040512000785

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 Doherty 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
Shannon Doherty, CRNA
5445 Myron Rd,
Grant Township, MI 48032-2403

Ph: () -
Shannon Doherty, CRNA
30200 Telegraph Rd, Suite 220,
Bingham Farms, MI 48025-4502

Ph: (248) 258-5058

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bingham Farms, MI

Michele Burke, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Paul Santoro, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Philip Biland,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Timothy Marx, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Julie Staczek-marx, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Michael Bonds, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025
Phone: 248-258-5058    
Treavor Eimers,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30200 Telegraph Rd, #220, Bingham Farms, MI 48025
Phone: 248-258-5058    Fax: 248-927-5058

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.