Shannon L Gilliam, PA in Waldorf, MD - Medicare Physician Assistant

Shannon L Gilliam, PA is a medicare enrolled "Physician Assistant - Medical" in Waldorf, Maryland. Her current practice location is 12070 Old Line Ctr Ste 303, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 893-2505.

Shannon L Gilliam is licensed to practice in Maryland (license number C0003161) 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 1972548584.

Contact Information

	Shannon L Gilliam, PA
	12070 Old Line Ctr Ste 303, Waldorf, MD 20602-3535
	(301) 893-2505
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon L Gilliam
Gender	Female
Speciality	Physician Assistant - Medical
Location	12070 Old Line Ctr Ste 303, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972548584
Provider Enumeration Date: 06/18/2006
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 0042220014
Enrollment ID: I20060504000697

Medical Identifiers

Medical identifiers for Shannon L Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972548584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	C0003161 (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 L Gilliam 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 L Gilliam, PA 37855 Waterloo Rd, Coltons Point, MD 20626-2102 Ph: (571) 215-2155	Shannon L Gilliam, PA 12070 Old Line Ctr Ste 303, Waldorf, MD 20602-3535 Ph: (301) 893-2505

Reviews and Comments

Physician Assistant Nurses in Waldorf, MD

Mrs. Chinyere Ngozi Eze, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11750 Business Park Dr, Suite 103, Waldorf, MD 20601 Phone: 240-419-3865
Jennifer Hilfiker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Post Office Rd Ste C, Waldorf, MD 20602 Phone: 301-645-8322
Miss Monica Renee Leid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3261 Old Washington Rd Ste 3010, Waldorf, MD 20602 Phone: 855-527-7246 Fax: 866-229-5063
Kristen Elise Lohr, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12090 Old Line Centre, Waldorf, MD 20602 Phone: 301-843-3888 Fax: 301-870-6838
Lilli Elizabeth Conner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12070 Old Line Ctr Ste 303, Waldorf, MD 20602 Phone: 301-645-5100
Ili Wathen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3500 Old Washington Rd Ste 201, Waldorf, MD 20602 Phone: 301-396-2003 Fax: 240-222-3134
Denise Smith Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12101 Old Line Ctr, Waldorf, MD 20602 Phone: 301-843-2223 Fax: 301-705-9720

Shannon L Gilliam, PA - Medicare Physician Assistant in Waldorf, MD