Shannon Jeanne Radkovich, PA-C - Medicare Physician Assistant in Randolph, NJ

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Shannon Jeanne Radkovich, PA-C is a medicare enrolled "Physician Assistant" in Randolph, New Jersey. Her current practice location is 714 Route 10 W, Randolph, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 891-1213.

Shannon Jeanne Radkovich is licensed to practice in New Jersey (license number 25MP00285900) 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 1215292099.

Contact Information

Shannon Jeanne Radkovich, PA-C
714 Route 10 W,
Randolph, NJ 07869-2058
(973) 891-1213
(973) 891-1216

Map and Direction




Provider's Profile

Full NameShannon Jeanne Radkovich
GenderFemale
SpecialityPhysician Assistant
Location714 Route 10 W, Randolph, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215292099
  • Provider Enumeration Date: 07/09/2012
  • Last Update Date: 05/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436308848
  • Enrollment ID: I20120928000403

Medical Identifiers

Medical identifiers for Shannon Jeanne Radkovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215292099NPI-NPPES
1215292099OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00285900 (New Jersey)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 Jeanne Radkovich 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 Jeanne Radkovich, PA-C
Po Box 416457,
Boston, MA 02241-6457

Ph: (844) 362-1735		Shannon Jeanne Radkovich, PA-C
714 Route 10 W,
Randolph, NJ 07869-2058

Ph: (973) 891-1213

Reviews and Comments


Physician Assistant Nurses in Randolph, NJ

Mrs. Alana Young, PA-C
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Practice Location: 477 Rte 10 Ste 405, Randolph, NJ 07869
Phone: 973-560-9500    Fax: 833-493-1248
Lauren Marie Falvey, P.A.
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Practice Location: 121 Center Grove Rd, Randolph, NJ 07869
Phone: 973-361-3737    Fax: 973-361-9884
Cristin Maura Kelly, PA-C
Physician Assistant
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Practice Location: 390 Route 10 W, Suite 102, Randolph, NJ 07869
Phone: 973-366-6303    
Rachael Nicole Romer,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 477 Route 10 Ste 205, Randolph, NJ 07869
Phone: 908-560-9500    

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.