Shannon Lynn Brooks, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Louisville, Kentucky. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
170 Dr Arla Way Ste 101, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 955-8480.
Shannon Lynn Brooks is licensed to practice in Kentucky (license number 3014491) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1639787245.
Physician's Profile
| Full Name | Shannon Lynn Brooks |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 170 Dr Arla Way Ste 101, Louisville, Kentucky |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Lynn Brooks graduated from medical school in 2020
NPI Data:
- NPI Number: 1639787245
- Provider Enumeration Date: 07/20/2020
- Last Update Date: 01/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012324650
- Enrollment ID: I20250429003660
Medical Identifiers
Medical identifiers for Shannon Lynn Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639787245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | KY19765 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014491 (Kentucky) | 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 Lynn Brooks allows following entities to bill medicare on her behalf.
| Entity Name | Molina Healthcare Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348 |
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| Entity Name | Central Health Plan Of California, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386714772
PECOS PAC ID: 7416395736
Enrollment ID: O20240405001559 |
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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 Lynn Brooks 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 |
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Shannon Lynn Brooks, APRN
314 Braeburn Dr,
Brooks, KY 40109-5074
Ph: () - | Shannon Lynn Brooks, APRN
170 Dr Arla Way Ste 101,
Louisville, KY 40229-5427
Ph: (502) 955-8480 |
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