Enas Mohamed Shanshen, MD - Medicare Pediatrics 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 NameEnas Mohamed Shanshen
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location400 N 9th St Fl 2, Springfield, Illinois
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1093092389NPI-NPPES
82004234MedicaidNM
379876101MedicaidTX
379876102MedicaidTX
200724170AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 45984 (Texas)Secondary
2080P0202XPediatrics - Pediatric Cardiology 46386 (Texas)Primary
390200000XStudent 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 NameTexas Tech University Health Sciences Center Amarillo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013942150
PECOS PAC ID: 9234037847
Enrollment ID: O20031220000051
Entity NameBsa Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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Phone: 217-545-4238    Fax: 217-545-2303

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.

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