Dr Shannon Kathleen Godsil, MD is a medicare enrolled "Pediatrics" physician in Gretna, Nebraska. Her current practice location is
11946 Standing Stone Dr, Gretna, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 815-4500.
Dr Shannon Kathleen Godsil is licensed to practice in Nebraska (license number 29266) 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 1518306414.
Physician's Profile
| Full Name | Dr Shannon Kathleen Godsil |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 11946 Standing Stone Dr, Gretna, Nebraska |
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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: 1518306414
- Provider Enumeration Date: 06/24/2013
- Last Update Date: 12/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658594775
- Enrollment ID: I20160623002117
Medical Identifiers
Medical identifiers for Dr Shannon Kathleen Godsil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518306414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 29266 (Nebraska) | Primary |
| 208000000X | Pediatrics | TEP#6973 (Nebraska) | Secondary |
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 Kathleen Godsil allows following entities to bill medicare on her behalf.
| Entity Name | Physicians Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
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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 Kathleen Godsil 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 Shannon Kathleen Godsil, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Dr Shannon Kathleen Godsil, MD 11946 Standing Stone Dr, Gretna, NE 68028-8094 Ph: (402) 815-4500 |
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