Shannon Marie Philipps, DO in Surfside Beach, SC

Shannon Marie Philipps, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Surfside Beach, South Carolina. Her current practice location is 1413 Highway 17 N, Surfside Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 347-8041.

Shannon Marie Philipps is licensed to practice in South Carolina (license number 93574) 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 1215490776.

Contact Information

	Shannon Marie Philipps, DO
	1413 Highway 17 N, Surfside Beach, SC 29575-6012
	(843) 347-8041
	(843) 347-8042

Map and Direction

Physician's Profile

Full Name	Shannon Marie Philipps
Gender	Female
Speciality	Family Medicine - Sports Medicine
Location	1413 Highway 17 N, Surfside Beach, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215490776
Provider Enumeration Date: 04/11/2019
Last Update Date: 04/15/2025

Medicare PECOS Information:

PECOS PAC ID: 8224363049
Enrollment ID: I20240105003546

Medical Identifiers

Medical identifiers for Shannon Marie Philipps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215490776	NPI	-	NPPES
935741	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	93574 (South Carolina)	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 Marie Philipps allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Philipps 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 Marie Philipps, DO 300 Singleton Ridge Rd, Attention Credentialing, Conway, SC 29526-9142 Ph: () -	Shannon Marie Philipps, DO 1413 Highway 17 N, Surfside Beach, SC 29575-6012 Ph: (843) 347-8041

Reviews and Comments

Family Medicine Doctors in Surfside Beach, SC

Dr. Mary Kaye Favaro, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1407 Southwood Dr, Surfside Beach, SC 29575 Phone: 843-215-6992 Fax: 843-215-9409
Dr. Dan Muntean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624
Dr. Mark A Gauthier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622
Mr. James Marvin Vest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1413 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-5654 Fax: 843-238-1624
Dr. James C Hughes Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Highway 17 N, Surfside Beach, SC 29575 Phone: 843-238-1461 Fax: 843-828-0622

Shannon Marie Philipps, DO - Medicare Family Medicine in Surfside Beach, SC