Shannon Beaulieu, DDS is a
Military Health Care Provider based in Fpo, Armed Forces Pacific. Shannon Beaulieu is licensed to practice in * (Not Available) (license number ) and her current practice location is
Unit 100207 Box 1, Fpo, Armed Forces Pacific. She can be reached at her office (for appointments etc.) via phone at
(801) 719-4956.
NPI number for Shannon Beaulieu is 1285474288 and her current mailing address is 722 Regency Ln E, Hopkins, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285474288.
Healthcare Provider's Profile
| Full Name | Shannon Beaulieu |
|---|
| Gender | Female |
|---|
| Speciality | Military Health Care Provider |
|---|
| Location | Unit 100207 Box 1, Fpo, Armed Forces Pacific |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285474288
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 07/20/2025
Medical Identifiers
Medical identifiers for Shannon Beaulieu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285474288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | D15057 (Minnesota) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
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 Beaulieu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannon Beaulieu, DDS 722 Regency Ln E, Hopkins, MN 55343-4701 Ph: () - | Shannon Beaulieu, DDS Unit 100207 Box 1, Fpo, AP 96673-0700 Ph: (801) 719-4956 |
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