Timothy Ray Shann, MD in Brookhaven, MS

Timothy Ray Shann, MD is a medicare enrolled "Pediatrics" physician in Brookhaven, Mississippi. His current practice location is 509 Brookman Dr, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 823-5204.

Timothy Ray Shann is licensed to practice in Oklahoma (license number 21817) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477518793.

Contact Information

	Timothy Ray Shann, MD
	509 Brookman Dr, Brookhaven, MS 39601-2326
	(601) 823-5204
	(601) 833-1224

Map and Direction

Physician's Profile

Full Name	Timothy Ray Shann
Gender	Male
Speciality	Pediatrics
Location	509 Brookman Dr, Brookhaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477518793
Provider Enumeration Date: 04/19/2006
Last Update Date: 10/25/2016

Medicare PECOS Information:

PECOS PAC ID: 2567646227
Enrollment ID: I20110405000750

Medical Identifiers

Medical identifiers for Timothy Ray Shann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477518793	NPI	-	NPPES
731310891006	Other	OK	UNICARE
731310891028	Other	OK	TRICARE SOUTH
100253110A	Medicaid	OK
100253110A	Other	OK	SOONER PCP
74502A041	Other	OK	CHAMPUS (WPS)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	21817 (Oklahoma)	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. Timothy Ray Shann allows following entities to bill medicare on his behalf.

Entity Name	Kings Daughters Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174

Entity Name	Kdmc Physician Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541

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. Timothy Ray Shann 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
Timothy Ray Shann, MD 509 Brookman Dr, Brookhaven, MS 39601-2326 Ph: (601) 823-5204	Timothy Ray Shann, MD 509 Brookman Dr, Brookhaven, MS 39601-2326 Ph: (601) 823-5204

Reviews and Comments

Pediatrics Doctors in Brookhaven, MS

Joshua William Iles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Brookman Dr, Brookhaven, MS 39601 Phone: 601-823-5204 Fax: 601-833-1224
Charles Mitchell Holland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 509 Brookman Dr, Brookhaven, MS 39601 Phone: 601-823-5204 Fax: 601-833-1224
David Steven Braden, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 624 Highway 51 N, Brookhaven, MS 39601 Phone: 601-835-2100 Fax: 601-835-0451

Timothy Ray Shann, MD - Medicare Pediatrics in Brookhaven, MS