Dr Shannon Kelly Blair, DDS - Medicare Dentist in Penasco, NM

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Dr Shannon Kelly Blair, DDS is a medicare enrolled "Dentist - General Practice" provider in Penasco, New Mexico. Her current practice location is 201 K-2 Buffalo Trail, Penasco, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 251-8010.

Dr Shannon Kelly Blair is licensed to practice in New Mexico (license number DD22013) 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 1841823143.

Contact Information

Dr Shannon Kelly Blair, DDS
201 K-2 Buffalo Trail,
Penasco, NM 87553
(575) 251-8010
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Shannon Kelly Blair
GenderFemale
SpecialityDentist - General Practice
Location201 K-2 Buffalo Trail, Penasco, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841823143
  • Provider Enumeration Date: 02/15/2020
  • Last Update Date: 02/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3476973165
  • Enrollment ID: I20201019002168

Medical Identifiers

Medical identifiers for Dr Shannon Kelly Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841823143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DDS106783 (California)Secondary
1223G0001XDentist - General Practice DD22013 (New Mexico)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. Dr Shannon Kelly Blair 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
Dr Shannon Kelly Blair, DDS
Po Box 127,
Penasco, NM 87553-0127

Ph: (575) 251-8010		Dr Shannon Kelly Blair, DDS
201 K-2 Buffalo Trail,
Penasco, NM 87553

Ph: (575) 251-8010

Reviews and Comments


Dentist in Penasco, NM

Dr. Arturo D Sisneros, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: State Rd. 75 #15136, El Centro Family Health Penasco Dental, Penasco, NM 87533
Phone: 575-587-2809    Fax: 575-587-2605
Erik Alexander Watson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 15136 State Road 75, Penasco, NM 87553
Phone: 575-587-2205    Fax: 575-587-1944

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.