Shannon Fourtner, MD in Batavia, NY

Shannon Fourtner, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Batavia, New York. Her current practice location is 5762 E Main Street Rd Ste B, Batavia, 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
	5762 E Main Street Rd Ste B, Batavia, NY 14020-9621
	(585) 201-7112
	(585) 201-7128

Map and Direction

Physician's Profile

Full Name	Shannon Fourtner
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	5762 E Main Street Rd Ste B, Batavia, New York
Accepts Medicare Assignments	Medicare 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: 09/10/2021

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.

Identifier	Type	State	Issuer
1225111651	NPI	-	NPPES
02657463	Medicaid	NY
00027224401	Other		UNIVERA
1212950	Other		IHA
000528154001	Other		BC/BS
050805000017	Other		FIDELIS
1019564320001	Other		PA MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0205X	Pediatrics - Pediatric Endocrinology	35.141690 (Ohio)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	236427 (New York)	Primary
2080P0205X	Pediatrics - Pediatric Endocrinology	MD2017-1044 (New Mexico)	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. Shannon Fourtner allows following entities to bill medicare on her behalf.

Entity Name	University At Buffalo Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912928599 PECOS PAC ID: 1355235540 Enrollment ID: O20040210000076

Entity Name	Pediatric Metabolism Endercrenology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Shannon Fourtner, MD 5762 E Main Street Rd Ste B, Batavia, NY 14020-9621 Ph: (585) 201-7112	Shannon Fourtner, MD 5762 E Main Street Rd Ste B, Batavia, NY 14020-9621 Ph: (585) 201-7112

Reviews and Comments

Pediatrics Doctors in Batavia, NY

Daniel Gelfond, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 166 Washington Ave, Batavia, NY 14020 Phone: 585-250-4132 Fax: 585-345-4250
Dr. Muhammad S Idrees, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 43 Batavia City Ctr, Suite A, Batavia, NY 14020 Phone: 585-343-7117 Fax: 585-343-3783
Adam Joseph Olewnik, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 47 Batavia City Ctr, Batavia, NY 14020 Phone: 585-343-2611 Fax: 585-343-3826
Dr. Ansar Ahmed, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43 Batavia City Ctr, Suite A, Batavia, NY 14020 Phone: 585-343-7117 Fax: 585-343-3783
Dr. Emily Fraser Branche, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 314 Ellicott St Ste 2, Batavia, NY 14020 Phone: 585-483-3081 Fax: 585-483-3084
Nadezhda Danilovich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5762 E Main Street Rd Ste B, Batavia, NY 14020 Phone: 585-201-7112 Fax: 585-201-7128

Shannon Fourtner, MD - Medicare Pediatrics in Batavia, NY