Ms Shannon R Russom, NP in Williston, VT - Medicare Nurse Practitioner

Ms Shannon R Russom, NP is a medicare enrolled "Nurse Practitioner - Family" in Williston, Vermont. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Vermont Medical Center Inc and her current practice location is 353 Blair Park Rd, Williston, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 847-1600.

Ms Shannon R Russom is licensed to practice in Vermont (license number 1010017858) 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 1013948850.

Contact Information

	Ms Shannon R Russom, NP
	353 Blair Park Rd, Williston, VT 05495-7530
	(802) 847-1600
	(802) 847-7184

Map and Direction

Provider's Profile

Full Name	Ms Shannon R Russom
Gender	Female
Speciality	Nurse Practitioner
Experience	27 Years
Location	353 Blair Park Rd, Williston, Vermont
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Shannon R Russom graduated from nursing school in 1999

NPI Data:

NPI Number: 1013948850
Provider Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022054568
Enrollment ID: I20050706000527

Medical Identifiers

Medical identifiers for Ms Shannon R Russom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013948850	NPI	-	NPPES
1008958	Medicaid	VT
150268	Other	VT	MVP
58796	Other	VT	BLUE SHIELD
6309101	Other	VT	APEX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1010017858 (Vermont)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Univ. Of Vermont - Fletcher Allen Health Care	Burlington, VT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Vermont Medical Center Inc	3779491071	1060

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. Ms Shannon R Russom allows following entities to bill medicare on her behalf.

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

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. Ms Shannon R Russom 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
Ms Shannon R Russom, NP 87 Carse Rd, Huntington, VT 05462-9550 Ph: (802) 434-4195	Ms Shannon R Russom, NP 353 Blair Park Rd, Williston, VT 05495-7530 Ph: (802) 847-1600

Reviews and Comments

Nurse Practitioner Nurses in Williston, VT

Ms. Rebecca Brooklyn, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4185 St George Rd, Williston, VT 05495 Phone: 802-922-2520 Fax: 802-879-5335
Anastasiya Lulic, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131
Ms. Jena S Katzman, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131 Fax: 802-879-6853
Karyn Harvey Farevaag, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470
Karen Gibbs, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470
Hope Lindsay Denison, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 Park Ave Ste 1a, Williston, VT 05495 Phone: 212-803-3339

Ms Shannon R Russom, NP - Medicare Nurse Practitioner in Williston, VT