Shannon Law-clark, PA-C in Montclair, NJ - Medicare Physician Assistant

Shannon Law-clark, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Montclair, New Jersey. Her current practice location is 1 Seymour St, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 302-6025.

Shannon Law-clark is licensed to practice in New Jersey (license number 25MP00788200) 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 1861177370.

Contact Information

	Shannon Law-clark, PA-C
	1 Seymour St, Montclair, NJ 07042-3771
	(973) 302-6025
	(862) 357-8424

Map and Direction

Provider's Profile

Full Name	Shannon Law-clark
Gender	Female
Speciality	Physician Assistant - Surgical
Location	1 Seymour St, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861177370
Provider Enumeration Date: 06/21/2023
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2466806369
Enrollment ID: I20230926003883

Medical Identifiers

Medical identifiers for Shannon Law-clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861177370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	25MP00788200 (New Jersey)	Primary
363A00000X	Physician Assistant	25MP00788200 (New Jersey)	Secondary

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 Law-clark 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 Law-clark, PA-C 54a Hercules Rd, Kenvil, NJ 07847-2674 Ph: (973) 699-7861	Shannon Law-clark, PA-C 1 Seymour St, Montclair, NJ 07042-3771 Ph: (973) 302-6025

Reviews and Comments

Physician Assistant Nurses in Montclair, NJ

Yelena Berlin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000
Valentina Kolker, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Harries Pavilion, Suite 1, Montclair, NJ 07042 Phone: 973-429-6000
Barry Joseph Benzing, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000
Mr. Michael Stein, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6695
Teresa Hartman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 37 N Fullerton Ave, Montclair, NJ 07042 Phone: 973-233-1933
Sihana Sela, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-259-3632
Ms. Jennifer Goldberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51 Park St, Montclair, NJ 07042 Phone: 973-509-6900 Fax: 973-509-6939

Shannon Law-clark, PA-C - Medicare Physician Assistant in Montclair, NJ