Shanon K Luke, MD - Medicare Pediatrics in Versailles, MO

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Shanon K Luke, MD is a medicare enrolled "Pediatrics" physician in Versailles, Missouri. Her current practice location is 1109 W Clay Rd, Versailles, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 378-2351.

Shanon K Luke is licensed to practice in Missouri (license number 2021020969) 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 1255901898.

Contact Information

Shanon K Luke, MD
1109 W Clay Rd,
Versailles, MO 65084-1177
(573) 378-2351
(660) 826-1300

Map and Direction




Physician's Profile

Full NameShanon K Luke
GenderFemale
SpecialityPediatrics
Location1109 W Clay Rd, Versailles, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255901898
  • Provider Enumeration Date: 06/27/2021
  • Last Update Date: 09/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870033053
  • Enrollment ID: I20240914000051

Medical Identifiers

Medical identifiers for Shanon K Luke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255901898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2021020969 (Missouri)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. Shanon K Luke allows following entities to bill medicare on her behalf.
Entity NameRegional Health Care Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922057504
PECOS PAC ID: 8224926092
Enrollment ID: O20040304001212
Entity NameRegional Health Care Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053694422
PECOS PAC ID: 8224926092
Enrollment ID: O20111201000035

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. Shanon K Luke 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
Shanon K Luke, MD
305 W Main St,
Sedalia, MO 65301-3821

Ph: (660) 826-4774		Shanon K Luke, MD
1109 W Clay Rd,
Versailles, MO 65084-1177

Ph: (573) 378-2351

Reviews and Comments


Pediatrics Doctors in Versailles, MO

Dr. Sarah L. Gordon, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1109 W Clay Rd, Versailles, MO 65084
Phone: 573-378-2349    Fax: 888-979-8868

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.