Dr Shannon L Servin-obert, DO - Medicare Emergency Medicine in Port Townsend, WA

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Dr Shannon L Servin-obert, DO is a medicare enrolled "Emergency Medicine" physician in Port Townsend, Washington. Her current practice location is 834 Sheridan St, Port Townsend, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 385-2200.

Dr Shannon L Servin-obert is licensed to practice in Oregon (license number DO176333) 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 1285861989.

Contact Information

Dr Shannon L Servin-obert, DO
834 Sheridan St,
Port Townsend, WA 98368-2443
(360) 385-2200
(360) 344-1019

Map and Direction




Physician's Profile

Full NameDr Shannon L Servin-obert
GenderFemale
SpecialityEmergency Medicine
Location834 Sheridan St, Port Townsend, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285861989
  • Provider Enumeration Date: 06/19/2009
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294911186
  • Enrollment ID: I20110510000545

Medical Identifiers

Medical identifiers for Dr Shannon L Servin-obert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285861989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP60188240 (Washington)Secondary
207P00000XEmergency Medicine DO176333 (Oregon)Primary
207Q00000XFamily Medicine DO176333 (Oregon)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 L Servin-obert allows following entities to bill medicare on her behalf.
Entity NameJefferson County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356492953
PECOS PAC ID: 4789593708
Enrollment ID: O20031111000542
Entity NamePacific County Hospital District 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295708683
PECOS PAC ID: 8224939301
Enrollment ID: O20040120000991
Entity NameKittitas County Public Hospital Dist 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356375307
PECOS PAC ID: 0547179608
Enrollment ID: O20040213000046
Entity NameWashington Emergency Physician Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346586351
PECOS PAC ID: 5092951814
Enrollment ID: O20130424000635
Entity NameSunnyside Emergency Group A Professional Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033529367
PECOS PAC ID: 0941424451
Enrollment ID: O20140623002600
Entity NameOlney Emergency Group, A Professional Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386108868
PECOS PAC ID: 8426399965
Enrollment ID: O20190409003071

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 L Servin-obert 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 AddressPractice Location Address
Dr Shannon L Servin-obert, DO
834 Sheridan St,
Port Townsend, WA 98368-2443

Ph: (360) 385-2200		Dr Shannon L Servin-obert, DO
834 Sheridan St,
Port Townsend, WA 98368-2443

Ph: (360) 385-2200

Reviews and Comments


Emergency Medicine Doctors in Port Townsend, WA

Dr. Ronald W. Irick Ii, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    
Olivia Stephanie Haesloop, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    
Douglas T Nelsen, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-1252    Fax: 360-335-1252
Dr. Christopher James Davis, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    
Steven Hillman, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2500 W Sims Way, Suite 1, Port Townsend, WA 98368
Phone: 360-344-3663    Fax: 360-344-3664
Dr. James C Wallace, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 136-038-5220    
Reina Hj Parker, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 834 Sheridan St, Port Townsend, WA 98368
Phone: 360-385-2200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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