Shannon Gail Stark, MA CCC/SLP, NP-C - Medicare Nurse Practitioner in Sidney, NY

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Shannon Gail Stark, MA CCC/SLP, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Sidney, New York. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mary Imogene Bassett Hospital and her current practice location is 39 Pearl St W, Sidney, New York. You can reach out to her office (for appointments etc.) via phone at (607) 561-2021.

Shannon Gail Stark is licensed to practice in New York (license number 343815) 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 1003129438.

Contact Information

Shannon Gail Stark, MA CCC/SLP, NP-C
39 Pearl St W,
Sidney, NY 13838
(607) 561-2021
Not Available

Map and Direction




Provider's Profile

Full NameShannon Gail Stark
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location39 Pearl St W, Sidney, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Gail Stark graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1003129438
  • Provider Enumeration Date: 07/14/2010
  • Last Update Date: 02/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375885163
  • Enrollment ID: I20190426000539

Medical Identifiers

Medical identifiers for Shannon Gail Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003129438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 343815 (New York)Primary
235Z00000XSpeech-language Pathologist 0106541 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mary Imogene Bassett Hospital3779488325780

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 Gail Stark allows following entities to bill medicare on her behalf.
Entity NameMary Imogene Bassett Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20040120000834

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 Gail Stark 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 AddressPractice Location Address
Shannon Gail Stark, MA CCC/SLP, NP-C
205 Crocker Hill Rd,
Binghamton, NY 13904-2513

Ph: (212) 927-9706		Shannon Gail Stark, MA CCC/SLP, NP-C
39 Pearl St W,
Sidney, NY 13838

Ph: (607) 561-2021

Reviews and Comments


Nurse Practitioner Nurses in Sidney, NY

Julia Marie Parsons, DNP, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 44 Pearl St W, Sidney, NY 13838
Phone: 607-561-2200    Fax: 607-337-4689
Mrs. Rochelle Lee Cherrone, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 39 Pearl St W, Sidney, NY 13838
Phone: 607-561-2021    Fax: 607-563-2263
Meaghan Leigh Provost, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 44 Pearl St W, Sidney, NY 13838
Phone: 607-561-2200    
Mr. Kenneth Edward Demott, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 39 Pearl St W, Sidney, NY 13838
Phone: 607-561-2021    
Ms. Connie Diane Kelly, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 39 Pearl St W, Sidney, NY 13838
Phone: 252-354-7622    
Mrs. Jennifer M Lavare, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 59 River St, Sidney, NY 13838
Phone: 607-563-8022    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.