Angela P Shannon, MD in Los Angeles, CA - Medicare Psychiatry & Neurology

Angela P Shannon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Los Angeles, California. Her current practice location is 4211 Avalon Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 233-0425.

Angela P Shannon is licensed to practice in California (license number C168597) 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 1285707455.

Contact Information

	Angela P Shannon, MD
	4211 Avalon Blvd, Los Angeles, CA 90011-5622
	(323) 233-0425
	Not Available

Map and Direction

Physician's Profile

Full Name	Angela P Shannon
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	4211 Avalon Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285707455
Provider Enumeration Date: 11/16/2006
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 9739254061
Enrollment ID: I20080820000507

Medical Identifiers

Medical identifiers for Angela P Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285707455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	036661 (Georgia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	C168597 (California)	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. Angela P Shannon allows following entities to bill medicare on her behalf.

Entity Name	Department Of Behavioral Health And Developmental Disabilities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435

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. Angela P 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
Angela P Shannon, MD 2099 Fairburn Rd Sw, Atlanta, GA 30331-4812 Ph: (404) 344-0618	Angela P Shannon, MD 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 233-0425

Reviews and Comments

Psychiatry & Neurology Doctors in Los Angeles, CA

Dr. Joshua Hyong-jin Cho, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Ucla Medical Plz Ste 3200a, Los Angeles, CA 90095 Phone: 310-301-7396 Fax: 310-313-9247
Dr. Shabnam Balali, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, Los Angeles, CA 90073 Phone: 310-478-3711
Dr. Inna Keselman, M.D., PH.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plaza # B200, Los Angeles, CA 90095 Phone: 310-794-1195 Fax: 310-794-7491
Dr. Melissa Nicole Sullivan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 760 Westwood Plz, Suite C8-222, Los Angeles, CA 90024 Phone: 310-825-9989
Dr. Gary Pedneault, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7257 W Manchester Ave Apt 3, Los Angeles, CA 90045 Phone: 310-410-8266
Nasheed Ishrat Jamal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 710 Westwood Plz Rm 1-240, Los Angeles, CA 90095 Phone: 310-825-6681
Sneha Venkatraman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 760 Westwood Plz Ste C8-193, Los Angeles, CA 90024 Phone: 424-325-8099

Angela P Shannon, MD - Medicare Psychiatry & Neurology in Los Angeles, CA