Shannon Elizabeth Manno, PA-C is a medicare enrolled "Physician Assistant" physician in Novi, Michigan. Her current practice location is
26850 Providence Pkwy Ste 260, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 465-5140.
Shannon Elizabeth Manno is licensed to practice in Michigan (license number 5601009039) 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 1477011591.
Physician's Profile
| Full Name | Shannon Elizabeth Manno |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 26850 Providence Pkwy Ste 260, Novi, Michigan |
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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: 1477011591
- Provider Enumeration Date: 03/07/2019
- Last Update Date: 01/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355675935
- Enrollment ID: I20190702001401
Medical Identifiers
Medical identifiers for Shannon Elizabeth Manno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477011591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 5601009039 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601009039 (Michigan) | 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. Shannon Elizabeth Manno 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 Elizabeth Manno, PA-C 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 Ph: (248) 465-5140 | Shannon Elizabeth Manno, PA-C 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 Ph: (248) 465-5140 |
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