Dr Shannon Bridget O'brien, MD is a medicare enrolled "Orthopaedic Surgery" physician in Ketchikan, Alaska. Her current practice location is
3100 Tongass Ave, Ketchikan, Alaska. You can reach out to her office (for appointments etc.) via phone at
(404) 321-9900.
Dr Shannon Bridget O'brien is licensed to practice in Alaska (license number 105120) 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 1124167259.
Physician's Profile
| Full Name | Dr Shannon Bridget O'brien |
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| Gender | Female |
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| Speciality | Orthopaedic Surgery |
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| Location | 3100 Tongass Ave, Ketchikan, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124167259
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 04/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 7810050150
- Enrollment ID: I20090113000074
Medical Identifiers
Medical identifiers for Dr Shannon Bridget O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124167259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 105120 (Alaska) | 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. Dr Shannon Bridget O'brien allows following entities to bill medicare on her behalf.
| Entity Name | Texas Childrens Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861675506
PECOS PAC ID: 4385722081
Enrollment ID: O20080422000209 |
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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. Dr Shannon Bridget O'brien 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 |
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Dr Shannon Bridget O'brien, MD
1115 Se 164th Ave Dept 358,
Vancouver, WA 98683-8004
Ph: (360) 729-1462 | Dr Shannon Bridget O'brien, MD
3100 Tongass Ave,
Ketchikan, AK 99901-5746
Ph: (404) 321-9900 |
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