Amy K Shannon, DO is a medicare enrolled "General Practice" physician in Cranberry Township, Pennsylvania. Her current practice location is
2009 Mackenzie Way Ste 100, Cranberry Township, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 698-7334.
Amy K Shannon is licensed to practice in Pennsylvania (license number OS012796) 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 1194798413.
Physician's Profile
Full Name | Amy K Shannon |
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Gender | Female |
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Speciality | General Practice |
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Location | 2009 Mackenzie Way Ste 100, Cranberry Township, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194798413
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 06/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183615206
- Enrollment ID: I20130415000439
Medical Identifiers
Medical identifiers for Amy K Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194798413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | OS012796 (Pennsylvania) | Secondary |
208D00000X | General Practice | OS012796 (Pennsylvania) | 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. Amy K Shannon allows following entities to bill medicare on her behalf.
Entity Name | Ars Treatment Centers Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346731171 PECOS PAC ID: 0042568131 Enrollment ID: O20180807000056 |
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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. Amy K 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 |
Amy K Shannon, DO 230 Frazier Lake Dr, New Castle, PA 16105-1566 Ph: (724) 977-2703 | Amy K Shannon, DO 2009 Mackenzie Way Ste 100, Cranberry Township, PA 16066-5338 Ph: (724) 698-7334 |
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