Shannon Nicole Blanciak, is a medicare enrolled "Social Worker - Clinical" provider in Jeannette, Pennsylvania. She graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Brightside Medical Pc and her current practice location is
1004 Palm Ct, Jeannette, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(415) 360-3348.
Shannon Nicole Blanciak is licensed to practice in Pennsylvania (license number CW015155) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801509450.
Healthcare Provider's Profile
| Full Name | Shannon Nicole Blanciak |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 1004 Palm Ct, Jeannette, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Nicole Blanciak graduated from medical school in 2000
NPI Data:
- NPI Number: 1801509450
- Provider Enumeration Date: 12/28/2022
- Last Update Date: 06/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 5890160279
- Enrollment ID: I20230418000314
Medical Identifiers
Medical identifiers for Shannon Nicole Blanciak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801509450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | CW015155 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brightside Medical Pc | 4082089461 | 60 |
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 Nicole Blanciak allows following entities to bill medicare on her behalf.
| Entity Name | Brightside Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508325184
PECOS PAC ID: 4082089461
Enrollment ID: O20230418000266 |
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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 Nicole Blanciak 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 |
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Shannon Nicole Blanciak,
1004 Palm Ct,
Jeannette, PA 15644-4633
Ph: (215) 880-5289 | Shannon Nicole Blanciak,
1004 Palm Ct,
Jeannette, PA 15644-4633
Ph: (415) 360-3348 |
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