Shannon Logel Canterbury, is a medicare enrolled "Registered Nurse" in Banner Elk, North Carolina. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Watauga Medical Center Inc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063118115.
Provider's Profile
| Full Name | Shannon Logel Canterbury |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 1 Years |
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| Location | 150 Stoneybrook Ln, Banner Elk, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Logel Canterbury graduated from nursing school in 2024
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 |
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| 1063118115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 343253 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Watauga Medical Center Inc | 2668377474 | 75 |
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 |
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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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