Mrs Shannon Paige Wise, CNM in Leesburg, VA - Medicare Advanced Practice Midwife

Mrs Shannon Paige Wise, CNM is a medicare enrolled "Advanced Practice Midwife" in Leesburg, Virginia. Her current practice location is 163 Fort Evans Rd Ne, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 443-2000.

Mrs Shannon Paige Wise is licensed to practice in Virginia (license number 0024170771) 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 1558603977.

Contact Information

	Mrs Shannon Paige Wise, CNM
	163 Fort Evans Rd Ne, Leesburg, VA 20176-4420
	(703) 443-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Paige Wise
Gender	Female
Speciality	Advanced Practice Midwife
Location	163 Fort Evans Rd Ne, Leesburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558603977
Provider Enumeration Date: 03/24/2013
Last Update Date: 06/08/2025

Medicare PECOS Information:

PECOS PAC ID: 7517105372
Enrollment ID: I20130606000301

Medical Identifiers

Medical identifiers for Mrs Shannon Paige Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558603977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	0024170771 (Virginia)	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. Mrs Shannon Paige Wise allows following entities to bill medicare on her behalf.

Entity Name	Loudoun Medical Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474

Entity Name	The Physician And Midwife Collaborative Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386829794 PECOS PAC ID: 0648166405 Enrollment ID: O20201204001724

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. Mrs Shannon Paige Wise 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
Mrs Shannon Paige Wise, CNM 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 Ph: (703) 443-2000	Mrs Shannon Paige Wise, CNM 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 Ph: (703) 443-2000

Reviews and Comments

Advanced Practice Midwife Nurses in Leesburg, VA

Frances Faye Wygant Sharp, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19455 Deerfield Avenue, Suite 204, Leesburg, VA 20176 Phone: 703-858-1500 Fax: 703-858-5022
Heather K Swartz, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176 Phone: 703-726-1300 Fax: 703-726-9612
Courtney Walsh Marsh, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176 Phone: 703-726-1300 Fax: 703-726-9612
Anne Zschoche Cockerham, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Avenue, Suite 205, Leesburg, VA 20176 Phone: 703-726-1300 Fax: 703-726-9612
Mrs. Susan G Magenheimer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 19455 Deerfield Avenue, Suite 204, Leesburg, VA 20176 Phone: 703-858-1500 Fax: 703-858-5022
Kowthar A Sheikh-adam, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19450 Deerfield Ave, Ste 460, Leesburg, VA 20176 Phone: 571-707-8522
Sarah Elizabeth Tarter, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19450 Deerfield Ave Ste 460, Leesburg, VA 20176 Phone: 571-707-8522

Mrs Shannon Paige Wise, CNM - Medicare Advanced Practice Midwife in Leesburg, VA