Shanna Suzanne Odonnell, FNP in Port Lavaca, TX

Shanna Suzanne Odonnell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Port Lavaca, Texas. Her current practice location is 1016 N Virginia St, Port Lavaca, Texas. You can reach out to her office (for appointments etc.) via phone at (361) 552-0325.

Shanna Suzanne Odonnell is licensed to practice in Texas (license number AP114865) 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 1609887439.

Contact Information

	Shanna Suzanne Odonnell, FNP
	1016 N Virginia St, Port Lavaca, TX 77979-3000
	(361) 552-0325
	(361) 500-6904

Map and Direction

Provider's Profile

Full Name	Shanna Suzanne Odonnell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1016 N Virginia St, Port Lavaca, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609887439
Provider Enumeration Date: 08/10/2006
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5698779569
Enrollment ID: I20060907000189

Medical Identifiers

Medical identifiers for Shanna Suzanne Odonnell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609887439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	686322 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP114865 (Texas)	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. Shanna Suzanne Odonnell allows following entities to bill medicare on her behalf.

Entity Name	Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689630865 PECOS PAC ID: 3072403096 Enrollment ID: O20040316000136

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. Shanna Suzanne Odonnell 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
Shanna Suzanne Odonnell, FNP 1016 N Virginia St, Port Lavaca, TX 77979-3000 Ph: (361) 552-0325	Shanna Suzanne Odonnell, FNP 1016 N Virginia St, Port Lavaca, TX 77979-3000 Ph: (361) 552-0325

Reviews and Comments

Nurse Practitioner Nurses in Port Lavaca, TX

Michael Leon Gaines, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 N Virginia St Fl 2, Port Lavaca, TX 77979 Phone: 361-552-0379 Fax: 361-500-6904
Mrs. Tasha Norman, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904
Mr. Gregorio Jose Robles Fernandez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Virginia St, Port Lavaca, TX 77979 Phone: 832-691-4694
Courtne L Thurlkill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904
Kristi Boyd, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-6713
Mrs. Shanmei Lin Martinez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325
Mrs. Nichole Lynn Bruno, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 N. Virginia Street, Port Lavaca, TX 77979 Phone: 361-553-6844 Fax: 361-553-7314

Shanna Suzanne Odonnell, FNP - Medicare Nurse Practitioner in Port Lavaca, TX