Ms Shannon L Wilson, MS,RD in Williamsville, NY - Medicare Dietitian, Registered Provider

Ms Shannon L Wilson, MS,RD is a medicare enrolled "Dietitian, Registered" provider in Williamsville, New York. Her current practice location is 2801 Wehrle Dr Ste 4, Williamsville, New York. You can reach out to her office (for appointments etc.) via phone at (716) 626-7415.

Ms Shannon L Wilson is licensed to practice in * (Not Available) (license number ) 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 1336504141.

Contact Information

	Ms Shannon L Wilson, MS,RD
	2801 Wehrle Dr Ste 4, Williamsville, NY 14221
	(716) 626-7415
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Shannon L Wilson
Gender	Female
Speciality	Dietitian, Registered
Location	2801 Wehrle Dr Ste 4, Williamsville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336504141
Provider Enumeration Date: 12/21/2015
Last Update Date: 06/05/2019

Medicare PECOS Information:

PECOS PAC ID: 0648506949
Enrollment ID: I20190724002420

Medical Identifiers

Medical identifiers for Ms Shannon L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336504141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Ms Shannon L Wilson allows following entities to bill medicare on her behalf.

Provider Name	Custom Dietetics Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063596880 PECOS PAC ID: 1456377738 Enrollment ID: O20051017000158

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. Ms Shannon L Wilson 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
Ms Shannon L Wilson, MS,RD 2801 Wehrle Dr Ste 4, Williamsville, NY 14221-7381 Ph: (716) 626-7415	Ms Shannon L Wilson, MS,RD 2801 Wehrle Dr Ste 4, Williamsville, NY 14221 Ph: (716) 626-7415

Reviews and Comments

Dietitian, Registered in Williamsville, NY

Kelly B Flanagan, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 295 Essjay Rd, Williamsville, NY 14221 Phone: 716-630-1245 Fax: 716-250-5977
Catherine Ayers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 325 Essjay Rd, Williamsville, NY 14221 Phone: 716-630-1129
Mrs. Dawn Renee Copperthite, RD,CDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 300 International Dr, Suite 100, Williamsville, NY 14221 Phone: 716-228-8163 Fax: 716-626-3416
Jenna Guadagna, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 International Dr Ste 100, Williamsville, NY 14221 Phone: 716-710-7022
Mrs. Amy R Cefalu, M.S., R.D.,C.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 280 Spindrift Dr, Williamsville, NY 14221 Phone: 716-536-4788
Sarah Lynn Hartman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 325 Essjay Rd, Williamsville, NY 14221 Phone: 716-630-1129 Fax: 716-250-5990
Natalie Marie Trapasso, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 300 International Dr, Williamsville, NY 14221 Phone: 716-710-7022

Ms Shannon L Wilson, MS,RD - Medicare Dietitian in Williamsville, NY