Shannon Watley, DO - Medicare Obstetrics & Gynecology in Crystal Lake, IL

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Shannon Watley, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Crystal Lake, Illinois. Her current practice location is 360 Station Drive, 3rd Floor, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 477-2310.

Shannon Watley is licensed to practice in Illinois (license number 036106885) 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 1205821121.

Contact Information

Shannon Watley, DO
360 Station Drive, 3rd Floor,
Crystal Lake, IL 60014-6260
(815) 477-2310
(815) 356-2335

Map and Direction




Physician's Profile

Full NameShannon Watley
GenderFemale
SpecialityObstetrics & Gynecology
Location360 Station Drive, Crystal Lake, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205821121
  • Provider Enumeration Date: 09/16/2005
  • Last Update Date: 06/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7315912763
  • Enrollment ID: I20040830000244

Medical Identifiers

Medical identifiers for Shannon Watley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205821121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036106885 (Illinois)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 Watley allows following entities to bill medicare on her behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameFreeport Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447228788
PECOS PAC ID: 8426958232
Enrollment ID: O20040109000305
Entity NameObhg Illinois Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700107216
PECOS PAC ID: 7810179702
Enrollment ID: O20110314001065

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 Watley 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 AddressPractice Location Address
Shannon Watley, DO
13707 W Jackson St,
Woodstock, IL 60098-3188

Ph: (815) 337-1871		Shannon Watley, DO
360 Station Drive, 3rd Floor,
Crystal Lake, IL 60014-6260

Ph: (815) 477-2310

Reviews and Comments


Obstetrics & Gynecology Doctors in Crystal Lake, IL

Dr. Michele S Perlis, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 260 E Congress Pkwy, Crystal Lake, IL 60014
Phone: 815-477-0300    Fax: 815-477-0301
Mary T Riggs, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 750 E Terra Cotta Ave Ste B, Crystal Lake, IL 60014
Phone: 815-356-2323    Fax: 815-455-8130
Heather Beall, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 260 E Congress Pkwy, Crystal Lake, IL 60014
Phone: 815-477-0300    
Dr. Michelle Yvonne Karney, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 31 N Virginia St, Crystal Lake, IL 60014
Phone: 815-585-3002    
Neelam R Gandhi, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 260 E Congress Pkwy Ste A, Crystal Lake, IL 60014
Phone: 815-477-0300    Fax: 815-477-0301
Dr. Kathleen A Salus, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 260 E Congress Pkwy, Crystal Lake, IL 60014
Phone: 815-477-0300    Fax: 815-477-0300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.