Shannon Logel Canterbury, is a medicare enrolled "Registered Nurse" in Banner Elk, North Carolina. Her current practice location is
150 Stoneybrook Ln, Banner Elk, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 260-5937.
Shannon Logel Canterbury is licensed to practice in North Carolina (license number 343253) 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 1063118115.
Provider's Profile
| Full Name | Shannon Logel Canterbury |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 150 Stoneybrook Ln, Banner Elk, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063118115
- Provider Enumeration Date: 01/31/2023
- Last Update Date: 01/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456873785
- Enrollment ID: I20250317001815
Medical Identifiers
Medical identifiers for Shannon Logel Canterbury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063118115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 343253 (North Carolina) | 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 Logel Canterbury allows following entities to bill medicare on her behalf.
| Entity Name | Watauga Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528134194 PECOS PAC ID: 2668377474 Enrollment ID: O20040210000805 |
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| Entity Name | Charles A Cannon Jr Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346302783 PECOS PAC ID: 3274426952 Enrollment ID: O20040809001237 |
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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 Logel Canterbury 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 Logel Canterbury, 150 Stoneybrook Ln, Banner Elk, NC 28604-9417 Ph: (828) 260-5937 | Shannon Logel Canterbury, 150 Stoneybrook Ln, Banner Elk, NC 28604-9417 Ph: (828) 260-5937 |
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