Timothy Ray Shann, MD - Medicare Pediatrics 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 NameTimothy Ray Shann
GenderMale
SpecialityPediatrics
Location509 Brookman Dr, Brookhaven, Mississippi
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1477518793NPI-NPPES
731310891006OtherOKUNICARE
731310891028OtherOKTRICARE SOUTH
100253110AMedicaidOK
100253110AOtherOKSOONER PCP
74502A041OtherOKCHAMPUS (WPS)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NameKings Daughters Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043245368
PECOS PAC ID: 3072575539
Enrollment ID: O20041028000174
Entity NameKdmc Physician Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
Dr. Jackson Scott Thomas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 427 Highway 51 N, Brookhaven, MS 39601
Phone: 601-835-9270    Fax: 601-833-5210

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.