Tim Shannon, PSYD - Medicare Psychologist in Normal, IL

Tim Shannon, PSYD is a medicare enrolled "Psychologist" provider in Normal, Illinois. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 405 Kays Dr Ste C, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 664-3130.

Tim Shannon is licensed to practice in Illinois (license number 071004783) 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 1407956758.

Contact Information

Tim Shannon, PSYD
405 Kays Dr Ste C,
Normal, IL 61761-1979
(309) 664-3130
(309) 664-3528

Map and Direction




Healthcare Provider's Profile

Full NameTim Shannon
GenderMale
SpecialityClinical Psychologist
Experience33 Years
Location405 Kays Dr Ste C, Normal, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tim Shannon graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1407956758
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 05/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3173658945
  • Enrollment ID: I20100318000254

Medical Identifiers

Medical identifiers for Tim Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407956758NPI-NPPES
IL2613OtherILMEDICARE GROUP PTAN
DP5951OtherRR MEDICARE GROUP
P00820811OtherRR MEDICARE INDIVIDUAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 071004783 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891552

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. Tim Shannon allows following entities to bill medicare on his behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Tim 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 AddressPractice Location Address
Tim Shannon, PSYD
405 Kays Dr Ste C,
Normal, IL 61761-1979

Ph: (309) 664-3130
Tim Shannon, PSYD
405 Kays Dr Ste C,
Normal, IL 61761-1979

Ph: (309) 664-3130

Reviews and Comments


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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).

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