Dr Shawn Allen Shianna, MD is a medicare enrolled "Otolaryngology" physician in Freeport, Illinois. His current practice location is
1030 S Kunkle Blvd, Freeport, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 599-7850.
Dr Shawn Allen Shianna is licensed to practice in Illinois (license number 036078475) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609083336.
Physician's Profile
| Full Name | Dr Shawn Allen Shianna |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 1030 S Kunkle Blvd, Freeport, Illinois |
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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: 1609083336
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 02/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 4284546607
- Enrollment ID: I20150929001362
Medical Identifiers
Medical identifiers for Dr Shawn Allen Shianna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609083336 | NPI | - | NPPES |
| 036078475 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 036078475 (Illinois) | Primary |
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 Shawn Allen Shianna 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 Shawn Allen Shianna, MD 1030 S Kunkle Blvd, Freeport, IL 61032-6914 Ph: (815) 599-7850 | Dr Shawn Allen Shianna, MD 1030 S Kunkle Blvd, Freeport, IL 61032-6914 Ph: (815) 599-7850 |
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