Dr Shannon R Staker, MD - Medicare Pediatric Medicine in Roosevelt, UT

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Dr Shannon R Staker, MD is a medicare enrolled "Pediatrics" physician in Roosevelt, Utah. She went to University Of Utah School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Uintah Basin Medical Center and her current practice location is 210 W 300 N 75-3, Roosevelt, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 722-3971.

Dr Shannon R Staker is licensed to practice in Utah (license number 49110641205) 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 1023078045.

Contact Information

Dr Shannon R Staker, MD
210 W 300 N 75-3,
Roosevelt, UT 84066
(435) 722-3971
(435) 722-6104

Map and Direction




Physician's Profile

Full NameDr Shannon R Staker
GenderFemale
SpecialityPediatric Medicine
Experience29 Years
Location210 W 300 N 75-3, Roosevelt, Utah
Accepts Medicare AssignmentsYes. 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 R Staker attended and graduated from University Of Utah School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1023078045
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4789177544
  • Enrollment ID: I20251202000229

Medical Identifiers

Medical identifiers for Dr Shannon R Staker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023078045NPI-NPPES
D3849MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 49110641205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Uintah Basin Medical Center024413194461

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 R Staker 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 R Staker, MD
210 W 300 N 75-3,
Roosevelt, UT 84066

Ph: (435) 722-3971		Dr Shannon R Staker, MD
210 W 300 N 75-3,
Roosevelt, UT 84066

Ph: (435) 722-3971

Reviews and Comments


Pediatrics Doctors in Roosevelt, UT

Kyler Black, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 250 W 300 N, Roosevelt, UT 84066
Phone: 435-722-4691    
Dr. Jason S Beales, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066
Phone: 435-722-3971    Fax: 435-722-6104

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.