Dr Shannon L Tilly, MD in Salt Lake City, UT - Medicare Obstetrics/gynecology

Dr Shannon L Tilly, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Salt Lake City, Utah. She went to University Of Colorado School Of Medicine, Denver and graduated in 2002 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1525 W 2100 S, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 213-9900.

Dr Shannon L Tilly is licensed to practice in Utah (license number 54125001205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093767196.

Contact Information

	Dr Shannon L Tilly, MD
	1525 W 2100 S, Salt Lake City, UT 84119-1401
	(801) 213-9900
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shannon L Tilly
Gender	Female
Speciality	Obstetrics/gynecology
Experience	22 Years
Location	1525 W 2100 S, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shannon L Tilly attended and graduated from University Of Colorado School Of Medicine, Denver in 2002

NPI Data:

NPI Number: 1093767196
Provider Enumeration Date: 05/17/2006
Last Update Date: 08/10/2021

Medicare PECOS Information:

PECOS PAC ID: 2668474404
Enrollment ID: I20070208000131

Medical Identifiers

Medical identifiers for Dr Shannon L Tilly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093767196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	54125001205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3063

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 Tilly allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Community Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Tilly 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 L Tilly, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Dr Shannon L Tilly, MD 1525 W 2100 S, Salt Lake City, UT 84119-1401 Ph: (801) 213-9900

Reviews and Comments

Obstetrics & Gynecology Doctors in Salt Lake City, UT

Virginia Jean Homewood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3336 S 4155 W, Ste 301, Salt Lake City, UT 84120 Phone: 801-964-3865 Fax: 801-964-3894
Alexandra L. Woodcock, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132 Phone: 801-213-3716
Lillian B. Boettcher, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132 Phone: 801-581-7647
Patricia Bearnson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4465 S 900 E Ste 275, Salt Lake City, UT 84124 Phone: 801-272-6100 Fax: 801-272-6101
Eric C Nielson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1220 East 3900 South, Suite 3e, Salt Lake City, UT 84124 Phone: 801-685-7188 Fax: 801-685-8116
Susan T Horvath, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1140 E 3900 S Ste 400, Salt Lake City, UT 84124 Phone: 801-262-8666 Fax: 801-263-8821
Carolyn Weaver Swenson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2995

Dr Shannon L Tilly, MD - Medicare Obstetrics/gynecology in Salt Lake City, UT