Devon Thomas Shannon, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Brookhaven, Georgia. He went to University Of Toledo College Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. His current practice location is
1968 Hawks Ln Ne, Brookhaven, Georgia. You can reach out to his office (for appointments etc.) via phone at
(513) 508-9717.
Devon Thomas Shannon is licensed to practice in Georgia (license number 103696) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1932789815.
Physician's Profile
| Full Name | Devon Thomas Shannon |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 5 Years |
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| Location | 1968 Hawks Ln Ne, Brookhaven, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Devon Thomas Shannon attended and graduated from University Of Toledo College Of Medicine in 2021
NPI Data:
- NPI Number: 1932789815
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 07/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 6305362989
- Enrollment ID: I20260602003303
Medical Identifiers
Medical identifiers for Devon Thomas Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932789815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 103696 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 103696 (Georgia) | 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. Devon Thomas 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 |
|---|
Devon Thomas Shannon,
1968 Hawks Ln Ne,
Brookhaven, GA 30329-2283
Ph: (513) 508-9717 | Devon Thomas Shannon,
1968 Hawks Ln Ne,
Brookhaven, GA 30329-2283
Ph: (513) 508-9717 |
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