Shannon Quirk Detty, MD in Boulder, CO

Shannon Quirk Detty, MD is a medicare enrolled "Dermatology" physician in Boulder, Colorado. She went to Creighton University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dermatology Specialists Of Boulder Pc and her current practice location is 2880 Folsom St Ste 200, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 442-6647.

Shannon Quirk Detty is licensed to practice in Wisconsin (license number 70147) 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 1790149763.

Contact Information

	Shannon Quirk Detty, MD
	2880 Folsom St Ste 200, Boulder, CO 80304-3769
	(303) 442-6647
	(303) 442-2696

Map and Direction

Physician's Profile

Full Name	Shannon Quirk Detty
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	2880 Folsom St Ste 200, Boulder, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Quirk Detty attended and graduated from Creighton University School Of Medicine in 2012

NPI Data:

NPI Number: 1790149763
Provider Enumeration Date: 04/06/2016
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 3173815982
Enrollment ID: I20210223000125

Medical Identifiers

Medical identifiers for Shannon Quirk Detty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790149763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	6600-851 (Wisconsin)	Secondary
207N00000X	Dermatology	70147 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology Specialists Of Boulder Pc	3678668761	12

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 Quirk Detty allows following entities to bill medicare on her behalf.

Entity Name	Advanced Dermatology Skin Cancer & Laser Surgery Center P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134170012 PECOS PAC ID: 6709775133 Enrollment ID: O20040313000244

Entity Name	Dermatology Specialists Of Boulder Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053449306 PECOS PAC ID: 3678668761 Enrollment ID: O20071004000308

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 Quirk Detty 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 Quirk Detty, MD 600 Highland Ave, Madison, WI 53792-0001 Ph: () -	Shannon Quirk Detty, MD 2880 Folsom St Ste 200, Boulder, CO 80304-3769 Ph: (303) 442-6647

Reviews and Comments

Dermatology Doctors in Boulder, CO

Max Russell Greenlee Jr., M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 870 Juniper Ave, Boulder, CO 80304 Phone: 303-442-3425 Fax: 303-442-3425
Shawn B Allen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2880 Folsom St Ste 200, Boulder, CO 80304 Phone: 303-442-6647 Fax: 303-442-2696
Mr. William Crane Fix, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1840 Folsom St Ste 100, Boulder, CO 80302 Phone: 720-741-8051
Dr. Steven D Resnick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3575 Broadway St, Boulder, CO 80304 Phone: 303-449-0933 Fax: 303-447-0794
John R Steinbaugh, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3575 Broadway St, Boulder, CO 80304 Phone: 303-449-0933 Fax: 303-447-0794
Dr. Brian N Bailey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1230 Chambers Dr, Boulder, CO 80305 Phone: 303-666-8288
Lindsay Nicole Boyers, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3013 Fax: 303-440-3178

Shannon Quirk Detty, MD - Medicare Dermatology in Boulder, CO