Dr Kevin Charles Shannon, MD in San Bernardino, CA

Dr Kevin Charles Shannon, MD is a medicare enrolled "Family Medicine" physician in San Bernardino, California. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sac Health System and his current practice location is 1454 E 2nd St, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 382-7146.

Dr Kevin Charles Shannon is licensed to practice in New Hampshire (license number 11096) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356470314.

Contact Information

	Dr Kevin Charles Shannon, MD
	1454 E 2nd St, San Bernardino, CA 92408-0118
	(909) 382-7146
	(909) 382-7101

Map and Direction

Physician's Profile

Full Name	Dr Kevin Charles Shannon
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	1454 E 2nd St, San Bernardino, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Charles Shannon attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1985

NPI Data:

NPI Number: 1356470314
Provider Enumeration Date: 03/05/2007
Last Update Date: 04/15/2013

Medicare PECOS Information:

PECOS PAC ID: 3072544782
Enrollment ID: I20120821000322

Medical Identifiers

Medical identifiers for Dr Kevin Charles Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356470314	NPI	-	NPPES
30201226	Medicaid	NH
0RE6020	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11096 (New Hampshire)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sac Health System	4385533579	159

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. Dr Kevin Charles Shannon allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

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 Kevin Charles 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
Dr Kevin Charles Shannon, MD 1454 E 2nd St, San Bernardino, CA 92408-0118 Ph: (909) 382-7146	Dr Kevin Charles Shannon, MD 1454 E 2nd St, San Bernardino, CA 92408-0118 Ph: (909) 382-7146

Reviews and Comments

Family Medicine Doctors in San Bernardino, CA

Robert William Watrous, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100
Dr. Jesse R. Devera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 Fax: 909-890-2081
Dr. Donna Ruth Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 North Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-886-1798
Dr. Kelsey Louaine Cherepuschak, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100
Sachin Kumar Chatta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 W Highland Ave, San Bernardino, CA 92405 Phone: 909-881-7320 Fax: 909-881-7330
Dr. Uzair Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158
Hugo A. Leon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7101

Dr Kevin Charles Shannon, MD - Medicare Family Practice in San Bernardino, CA