Shannon Marie Driscoll, PA-C is a medicare enrolled "Physician Assistant" physician in Chicago, Illinois. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dermatology And Aesthetics Of Wicker Park Pllc, Vitalskin Medical Group Il Pllc and her current practice location is
1765 N Elston Ave Ste 110, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 276-1100.
Shannon Marie Driscoll is licensed to practice in Illinois (license number 085.006424) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457863045.
Physician's Profile
| Full Name | Shannon Marie Driscoll |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 1765 N Elston Ave Ste 110, Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Marie Driscoll graduated from medical school in 2017
NPI Data:
- NPI Number: 1457863045
- Provider Enumeration Date: 11/03/2017
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729342829
- Enrollment ID: I20180425001344
Medical Identifiers
Medical identifiers for Shannon Marie Driscoll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457863045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 085.006424 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085.006424 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermatology And Aesthetics Of Wicker Park Pllc | 1052410081 | 13 |
| Vitalskin Medical Group Il Pllc | 5991116261 | 56 |
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 Marie Driscoll 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 Marie Driscoll, PA-C
1765 N Elston Ave Ste 110,
Chicago, IL 60642-1501
Ph: (773) 276-1100 | Shannon Marie Driscoll, PA-C
1765 N Elston Ave Ste 110,
Chicago, IL 60642-1501
Ph: (773) 276-1100 |
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