Ryan Patrick Shannon, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Brookline, Massachusetts. His current practice location is
1180 Beacon St, Brookline, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(862) 755-3665.
Ryan Patrick Shannon is licensed to practice in Massachusetts (license number 117149) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457687071.
Healthcare Provider's Profile
| Full Name | Ryan Patrick Shannon |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1180 Beacon St, Brookline, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457687071
- Provider Enumeration Date: 11/02/2009
- Last Update Date: 08/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 4486818788
- Enrollment ID: I20130320000564
Medical Identifiers
Medical identifiers for Ryan Patrick Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457687071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 117149 (Massachusetts) | 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. Ryan Patrick Shannon allows following entities to bill medicare on his behalf.
| Entity Name | Lahey Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538194980
PECOS PAC ID: 2264336528
Enrollment ID: O20031120000097 |
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| Entity Name | Mount Auburn Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649254491
PECOS PAC ID: 2668364183
Enrollment ID: O20040329000378 |
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| Entity Name | Lahey Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269 |
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| Entity Name | Boston Evening Therapy Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881844975
PECOS PAC ID: 3779734553
Enrollment ID: O20121105000461 |
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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. Ryan Patrick 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 |
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Ryan Patrick Shannon, LMSW
27 Abbott St,
Newton Upper Falls, MA 02464-1304
Ph: (862) 755-3665 | Ryan Patrick Shannon, LMSW
1180 Beacon St,
Brookline, MA 02446-3885
Ph: (862) 755-3665 |
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