Shannon Elizabeth Potter, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Newfields, New Hampshire. Her current practice location is
1 Railroad Ave, Newfields, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 810-0002.
Shannon Elizabeth Potter is licensed to practice in New Hampshire (license number 080466-21) 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 1033824693.
Provider's Profile
| Full Name | Shannon Elizabeth Potter |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1 Railroad Ave, Newfields, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033824693
- Provider Enumeration Date: 01/18/2023
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608230552
- Enrollment ID: I20230912001352
Medical Identifiers
Medical identifiers for Shannon Elizabeth Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033824693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 080466-21 (New Hampshire) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 080466-21 (New Hampshire) | 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 Elizabeth Potter allows following entities to bill medicare on her behalf.
| Entity Name | Convenientmd - Ffs Uc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851082291 PECOS PAC ID: 5193186492 Enrollment ID: O20230803000905 |
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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 Elizabeth Potter 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 Elizabeth Potter, FNP-BC 1 Railroad Ave, Newfields, NH 03856-8406 Ph: (603) 810-0002 | Shannon Elizabeth Potter, FNP-BC 1 Railroad Ave, Newfields, NH 03856-8406 Ph: (603) 810-0002 |
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