Shannon Dereamus, CRNP in Lehighton, PA - Medicare Nurse Practitioner

Shannon Dereamus, CRNP is a medicare enrolled "Nurse Practitioner" in Lehighton, Pennsylvania. Her current practice location is 575 S 9th St Ste 7, Lehighton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 645-1000.

Shannon Dereamus is licensed to practice in Pennsylvania (license number SP024754) 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 1295491306.

Contact Information

	Shannon Dereamus, CRNP
	575 S 9th St Ste 7, Lehighton, PA 18235-2517
	(570) 645-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Dereamus
Gender	Female
Speciality	Nurse Practitioner
Location	575 S 9th St Ste 7, Lehighton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295491306
Provider Enumeration Date: 11/12/2021
Last Update Date: 11/12/2021

Medicare PECOS Information:

PECOS PAC ID: 4385098698
Enrollment ID: I20230920002385

Medical Identifiers

Medical identifiers for Shannon Dereamus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295491306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP024754 (Pennsylvania)	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. Shannon Dereamus allows following entities to bill medicare on her behalf.

Entity Name	The Carbon-schuylkill Community Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194891010 PECOS PAC ID: 4486562030 Enrollment ID: O20031117000015

Entity Name	St Luke's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740232719 PECOS PAC ID: 0648189688 Enrollment ID: O20040601000769

Entity Name	St. Luke's Quakertown Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225052616 PECOS PAC ID: 8224010350 Enrollment ID: O20040708000267

Entity Name	St Lukes Hospital-anderson Campus
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376965731 PECOS PAC ID: 5799924114 Enrollment ID: O20141021000312

Entity Name	St. Luke's Hospital -monroe Campus
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609311257 PECOS PAC ID: 1355637059 Enrollment ID: O20171221000156

Entity Name	Gsl Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073256608 PECOS PAC ID: 8921338583 Enrollment ID: O20220719000789

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. Shannon Dereamus 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
Shannon Dereamus, CRNP 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (484) 526-2894	Shannon Dereamus, CRNP 575 S 9th St Ste 7, Lehighton, PA 18235-2517 Ph: (570) 645-1000

Reviews and Comments

Nurse Practitioner Nurses in Lehighton, PA

Mr. Frank Golden, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1290 Blakeslee Boulevard Dr W Ste 1, Lehighton, PA 18235 Phone: 484-934-1155 Fax: 484-727-9991
Tammy Merrifield, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2226 Blakeslee Boulevard Dr E, Lehighton, PA 18235 Phone: 484-224-9700
Rachael Artinyan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2226 Blakeslee Boulevard Dr E Ste 200, Lehighton, PA 18235 Phone: 484-884-1007
Maureen Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N 12th St, Lehighton, PA 18235 Phone: 610-377-1300 Fax: 610-377-4758
Marie Burrell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 S 9th St Ste 1, Lehighton, PA 18235 Phone: 570-645-1990 Fax: 570-645-1995
Mrs. Diane B Luedtke, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 N 12th St, Lehighton, PA 18235 Phone: 570-401-3960 Fax: 570-325-8336
Amy Beth Kemp, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 Blakeslee Boulevard Dr E, Lehighton, PA 18235 Phone: 570-386-6900

Shannon Dereamus, CRNP - Medicare Nurse Practitioner in Lehighton, PA