Shannon Elizabeth Michel Wynn, MD in Danbury, CT

Shannon Elizabeth Michel Wynn, MD is a medicare enrolled "Pediatrics - Hospice And Palliative Medicine" physician in Danbury, Connecticut. Her current practice location is 24 Hospital Ave, Danbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 739-7000.

Shannon Elizabeth Michel Wynn is licensed to practice in Connecticut (license number 74367) 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 1053815274.

Contact Information

	Shannon Elizabeth Michel Wynn, MD
	24 Hospital Ave, Danbury, CT 06810-6099
	(203) 739-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Elizabeth Michel Wynn
Gender	Female
Speciality	Pediatrics - Hospice And Palliative Medicine
Location	24 Hospital Ave, Danbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053815274
Provider Enumeration Date: 03/21/2018
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5799032694
Enrollment ID: I20230622002582

Medical Identifiers

Medical identifiers for Shannon Elizabeth Michel Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053815274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0002X	Internal Medicine - Hospice And Palliative Medicine	74367 (Connecticut)	Secondary
207RH0002X	Internal Medicine - Hospice And Palliative Medicine	35144996 (Ohio)	Secondary
2080H0002X	Pediatrics - Hospice And Palliative Medicine	35144996 (Ohio)	Secondary
2080H0002X	Pediatrics - Hospice And Palliative Medicine	74367 (Connecticut)	Primary

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 Elizabeth Michel Wynn allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

Entity Name	Nuvance Health Medical Practice Ct Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130

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 Michel Wynn 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 Michel Wynn, MD 24 Hospital Ave, Danbury, CT 06810-6077 Ph: () -	Shannon Elizabeth Michel Wynn, MD 24 Hospital Ave, Danbury, CT 06810-6099 Ph: (203) 739-7000

Reviews and Comments

Pediatrics Doctors in Danbury, CT

Veronica Ivette Ron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Main St, Danbury, CT 06810 Phone: 203-791-5020
Ana Paula Machado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 107 Newtown Rd, Suite 1d, Danbury, CT 06810 Phone: 203-790-0822
Jack Fong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-797-7940
Joan A Magner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 107 Newtown Rd, Suite 1d, Danbury, CT 06810 Phone: 203-790-0822
Dr. Catherine Anne Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 914-772-8642 Fax: 914-772-8642
Eitan Kilchevsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-797-7150
Raul Antonio Arguello, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-6810 Fax: 203-739-6465

Shannon Elizabeth Michel Wynn, MD - Medicare Pediatrics in Danbury, CT