Shannon Ives, CRNP - Medicare Nurse Practitioner in East Stroudsburg, PA

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Shannon Ives, CRNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in East Stroudsburg, Pennsylvania. Her current practice location is 228 Independence Rd, East Stroudsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 426-2830.

Shannon Ives is licensed to practice in Pennsylvania (license number SP018102) 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 1063919611.

Contact Information

Shannon Ives, CRNP
228 Independence Rd,
East Stroudsburg, PA 18301-9435
(570) 426-2830
Not Available

Map and Direction




Provider's Profile

Full NameShannon Ives
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location228 Independence Rd, East Stroudsburg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063919611
  • Provider Enumeration Date: 04/10/2018
  • Last Update Date: 11/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7214272517
  • Enrollment ID: I20181214000145

Medical Identifiers

Medical identifiers for Shannon Ives such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063919611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology SP018102 (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 Ives allows following entities to bill medicare on her behalf.
Entity NameFamily Care Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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 Ives 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 Ives, CRNP
726 Maple Grove Rd,
Moscow, PA 18444-6862

Ph: (570) 237-2312		Shannon Ives, CRNP
228 Independence Rd,
East Stroudsburg, PA 18301-9435

Ph: (570) 426-2830

Reviews and Comments


Nurse Practitioner Nurses in East Stroudsburg, PA

Ms. Whitney Smith, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 179 Independence Rd, East Stroudsburg, PA 18301
Phone: 570-476-3771    
John Joseph Kerprich Jr., CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 206 E Brown St, East Stroudsburg, PA 18301
Phone: 570-421-4000    
Allison C. Gossar, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 E Brown St, Immediate Care Center, East Stroudsburg, PA 18301
Phone: 570-476-3700    Fax: 570-476-3637
Christine Meyer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 E Brown St, East Stroudsburg, PA 18301
Phone: 570-476-3700    Fax: 570-476-3637
Sarah R Greene, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Plaza Ct Ste C, East Stroudsburg, PA 18301
Phone: 570-421-3800    
Miss Amy Simon, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 E Brown St, East Stroudsburg, PA 18301
Phone: 570-476-3700    

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.