Kathleen Shannon Edmunds, MD - Medicare Emergency Medicine in Manhattan Beach, CA

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Kathleen Shannon Edmunds, MD is a medicare enrolled "Emergency Medicine" physician in Manhattan Beach, California. Her current practice location is 111 N Sepulveda Blvd, Ste. 210, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at (310) 379-2134.

Kathleen Shannon Edmunds is licensed to practice in New Mexico (license number MD2005-0177) 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 1619055696.

Contact Information

Kathleen Shannon Edmunds, MD
111 N Sepulveda Blvd, Ste. 210,
Manhattan Beach, CA 90266-6861
(310) 379-2134
Not Available

Map and Direction




Physician's Profile

Full NameKathleen Shannon Edmunds
GenderFemale
SpecialityEmergency Medicine
Location111 N Sepulveda Blvd, Manhattan Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619055696
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 02/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3173567252
  • Enrollment ID: I20080123000924

Medical Identifiers

Medical identifiers for Kathleen Shannon Edmunds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619055696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD2005-0177 (New Mexico)Primary
207P00000XEmergency Medicine A101151 (California)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. Kathleen Shannon Edmunds allows following entities to bill medicare on her behalf.
Entity NameSan Francisco Emergency Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134110661
PECOS PAC ID: 5698662518
Enrollment ID: O20040303001130
Entity NameSiskiyou Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093892275
PECOS PAC ID: 1254223134
Enrollment ID: O20040927000311
Entity NamePinnacle Emergency Physicians Of Bakersfield, A Professional Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619153251
PECOS PAC ID: 7214086321
Enrollment ID: O20090520000375

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. Kathleen Shannon Edmunds 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
Kathleen Shannon Edmunds, MD
2138 Malcolm Ave,
Los Angeles, CA 90025-6306

Ph: (310) 597-0736		Kathleen Shannon Edmunds, MD
111 N Sepulveda Blvd, Ste. 210,
Manhattan Beach, CA 90266-6861

Ph: (310) 379-2134

Reviews and Comments


Emergency Medicine Doctors in Manhattan Beach, CA

Gregor Mciver,
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Medicare: Accepting Medicare Assignments
Practice Location: 836 14th St, Manhattan Beach, CA 90266
Phone: 310-346-9422    
Peter James Bloomfield, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 229 16th St, Manhattan Beach, CA 90266
Phone: 310-218-7002    
Dr. Albert Tuong-quang Nguyen, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1467 6th St, Manhattan Beach, CA 90266
Phone: 909-528-7026    
Sandra Isnasious, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N Sepulveda Blvd, Manhattan Beach, CA 90266
Phone: 424-295-0540    
David Sung Kwon, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 N Sepulveda Blvd, #210, Manhattan Beach, CA 90266
Phone: 310-379-2134    
Jose L Cervantes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 N Sepulveda Blvd, #543, Manhattan Beach, CA 90266
Phone: 424-217-3227    
Andrea W Wu, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 N Sepulveda Blvd, Suite 210, Manhattan Beach, CA 90266
Phone: 310-379-2134    

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.