Shannon Fourtner, MD - Medicare Pediatrics in Williamsville, NY

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Shannon Fourtner, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Williamsville, New York. Her current practice location is 8203 Main St Ste 14, Williamsville, New York. You can reach out to her office (for appointments etc.) via phone at (585) 201-7112.

Shannon Fourtner is licensed to practice in New York (license number 236427) 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 1225111651.

Contact Information

Shannon Fourtner, MD
8203 Main St Ste 14,
Williamsville, NY 14221-6051
(585) 201-7112
(585) 201-7128

Map and Direction




Physician's Profile

Full NameShannon Fourtner
GenderFemale
SpecialityPediatrics - Pediatric Endocrinology
Location8203 Main St Ste 14, Williamsville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225111651
  • Provider Enumeration Date: 10/21/2006
  • Last Update Date: 03/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759317654
  • Enrollment ID: I20050719000674

Medical Identifiers

Medical identifiers for Shannon Fourtner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225111651NPI-NPPES
000528154001OtherBC/BS
050805000017OtherFIDELIS
1212950OtherIHA
02657463MedicaidNY
00027224401OtherUNIVERA
1019564320001OtherPA MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology 236427 (New York)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 Fourtner allows following entities to bill medicare on her behalf.
Entity NameUniversity At Buffalo Pediatric Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912928599
PECOS PAC ID: 1355235540
Enrollment ID: O20040210000076
Entity NamePediatric Metabolism Endercrenology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508800376
PECOS PAC ID: 3678513579
Enrollment ID: O20050510001030

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 Fourtner 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
Shannon Fourtner, MD
8203 Main St Ste 14,
Williamsville, NY 14221-6051

Ph: (585) 201-7112		Shannon Fourtner, MD
8203 Main St Ste 14,
Williamsville, NY 14221-6051

Ph: (585) 201-7112

Reviews and Comments


Pediatrics Doctors in Williamsville, NY

Dr. Judi L Wolf, M.D.
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Phone: 716-565-9030    Fax: 716-565-9038
Frederick C Morin Iii, MD
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Practice Location: 1540 Maple Rd, Williamsville, NY 14221
Phone: 716-878-7662    
Dr. Michael Zang, MD
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Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221
Phone: 716-565-9030    
Marissa Janel Burg, M.D.
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Practice Location: 25 Hopkins Rd, Williamsville, NY 14221
Phone: 716-632-8050    Fax: 716-632-2297
Dr. Thomas F Cozza, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 25 Hopkins Rd, Williamsville, NY 14221
Phone: 716-632-8050    Fax: 716-632-2297
Dr. G Lawrence Mcnally, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221
Phone: 716-565-9030    Fax: 716-565-9038

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.