Shannon Gibbons, PA-C is a
Physician Assistant - Medical based in Fallston, Maryland. Shannon Gibbons is licensed to practice in Maryland (license number C0003837) and her current practice location is
1814 Bel Air Rd Ste 100, Fallston, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 981-3337.
NPI number for Shannon Gibbons is 1316190150 and her current mailing address is 120 Sister Pierre Dr Ste 407, Towson, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316190150.
Provider's Profile
Full Name | Shannon Gibbons |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1814 Bel Air Rd Ste 100, Fallston, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316190150
- Provider Enumeration Date: 10/24/2008
- Last Update Date: 09/01/2023
Medical Identifiers
Medical identifiers for Shannon Gibbons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316190150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | C0003837 (Maryland) | Primary |
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 Gibbons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Gibbons, PA-C 120 Sister Pierre Dr Ste 407, Towson, MD 21204-7536 Ph: () - | Shannon Gibbons, PA-C 1814 Bel Air Rd Ste 100, Fallston, MD 21047-2736 Ph: (443) 981-3337 |
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