Enas Mohamed Shanshen, MD in Springfield, IL

Enas Mohamed Shanshen, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Springfield, Illinois. Her current practice location is 400 N 9th St Fl 2, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-8000.

Enas Mohamed Shanshen is licensed to practice in Texas (license number 46386) 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 1093092389.

Contact Information

	Enas Mohamed Shanshen, MD
	400 N 9th St Fl 2, Springfield, IL 62702-5310
	(217) 545-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Enas Mohamed Shanshen
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	400 N 9th St Fl 2, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093092389
Provider Enumeration Date: 11/15/2011
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7012156870
Enrollment ID: I20170906000166

Medical Identifiers

Medical identifiers for Enas Mohamed Shanshen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093092389	NPI	-	NPPES
82004234	Medicaid	NM
379876101	Medicaid	TX
379876102	Medicaid	TX
200724170A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	45984 (Texas)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	46386 (Texas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Enas Mohamed Shanshen allows following entities to bill medicare on her behalf.

Entity Name	Texas Tech University Health Sciences Center Amarillo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051

Entity Name	Bsa Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609112069 PECOS PAC ID: 6305090762 Enrollment ID: O20130212000300

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. Enas Mohamed Shanshen 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
Enas Mohamed Shanshen, MD 201 E Madison St Ste 328, Springfield, IL 62702-5131 Ph: (217) 545-8000	Enas Mohamed Shanshen, MD 400 N 9th St Fl 2, Springfield, IL 62702-5310 Ph: (217) 545-8000

Reviews and Comments

Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Claudine Gillison, Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Gopinathan Gangadharan Nambiar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654
John Padanilam, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N 9th St # 4a, Springfield, IL 62702 Phone: 217-545-8000
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541

Enas Mohamed Shanshen, MD - Medicare Pediatrics in Springfield, IL