Shannon Dorer, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Tampa, Florida. He graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellspan Medical Group and his current practice location is
2 Tampa General Cir, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 821-8038.
Shannon Dorer is licensed to practice in Florida (license number APRN11040091) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346014214.
Physician's Profile
| Full Name | Shannon Dorer |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 2 Tampa General Cir, Tampa, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shannon Dorer graduated from medical school in 2023
NPI Data:
- NPI Number: 1346014214
- Provider Enumeration Date: 11/13/2023
- Last Update Date: 11/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911349303
- Enrollment ID: I20240530003638
Medical Identifiers
Medical identifiers for Shannon Dorer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346014214 | NPI | - | NPPES |
| FBHBK | Other | FL | BCBS |
| 128109700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | SP028634 (Pennsylvania) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | SP028634 (Pennsylvania) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN11040091 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wellspan Medical Group | 1951213115 | 2052 |
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. Shannon Dorer allows following entities to bill medicare on his behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
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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. Shannon Dorer 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 |
Shannon Dorer, CRNP Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Shannon Dorer, CRNP 2 Tampa General Cir, Tampa, FL 33606-3571 Ph: (813) 821-8038 |
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