Heather Marian Shannon, NP - Medicare Certified Nurse Midwife (cnm) in Fulton, NY

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Heather Marian Shannon, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Fulton, New York. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Oswego County Opportunities, Inc. and her current practice location is 522 S 4th St Ste 500, Fulton, New York. You can reach out to her office (for appointments etc.) via phone at (315) 598-4740.

Heather Marian Shannon is licensed to practice in New York (license number 00420826) 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 1790775005.

Contact Information

Heather Marian Shannon, NP
522 S 4th St Ste 500,
Fulton, NY 13069
(315) 598-4740
(315) 598-4728

Map and Direction




Provider's Profile

Full NameHeather Marian Shannon
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience27 Years
Location522 S 4th St Ste 500, Fulton, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heather Marian Shannon graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1790775005
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 11/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274591128
  • Enrollment ID: I20041227000160

Medical Identifiers

Medical identifiers for Heather Marian Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790775005NPI-NPPES
02381762MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife F000678-1 (New York)Secondary
363LW0102XNurse Practitioner - Women's Health 00420826 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oswego HospitalOswego, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oswego County Opportunities, Inc.07491764363

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. Heather Marian Shannon allows following entities to bill medicare on her behalf.
Entity NameOswego County Opportunities, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740396324
PECOS PAC ID: 0749176436
Enrollment ID: O20040227000780
Entity NameUniversity Ob/gyn Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235170150
PECOS PAC ID: 9133117740
Enrollment ID: O20040503001562

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. Heather Marian Shannon 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
Heather Marian Shannon, NP
239 Oneida Street, Attn: Paula Baker,
Fulton, NY 13069

Ph: (315) 598-4715		Heather Marian Shannon, NP
522 S 4th St Ste 500,
Fulton, NY 13069

Ph: (315) 598-4740

Reviews and Comments


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Mrs. Rebecca Dottolo, NP
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Kylie M. Lacey, N.P.
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Practice Location: 522 S 4th St, Suite 500, Fulton, NY 13069
Phone: 315-598-4740    Fax: 315-598-4719

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.