Shannon Margera, is a medicare enrolled "Social Worker - Clinical" provider in Dover, New Hampshire. Her current practice location is
15 Old Rollinsford Rd Ste 302, Dover, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 742-9200.
Shannon Margera is licensed to practice in New Hampshire (license number 4943) 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 1265155386.
Healthcare Provider's Profile
| Full Name | Shannon Margera |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 15 Old Rollinsford Rd Ste 302, Dover, New Hampshire |
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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: 1265155386
- Provider Enumeration Date: 09/23/2022
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486187408
- Enrollment ID: I20241030000569
Medical Identifiers
Medical identifiers for Shannon Margera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265155386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1556 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW128442 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC23949 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4943 (New Hampshire) | 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 Margera allows following entities to bill medicare on her behalf.
| Entity Name | Wentworth Douglass Physician Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447352430
PECOS PAC ID: 5496749848
Enrollment ID: O20040409000433 |
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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 Margera 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 Margera,
Po Box 412503,
Boston, MA 02241-2503
Ph: (617) 643-8315 | Shannon Margera,
15 Old Rollinsford Rd Ste 302,
Dover, NH 03820-2819
Ph: (603) 742-9200 |
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