Shannon Marie Canterbury, NP in Ann Arbor, MI

Shannon Marie Canterbury, NP is a medicare enrolled "Nurse Practitioner" in Ann Arbor, Michigan. Her current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4000.

Shannon Marie Canterbury is licensed to practice in Michigan (license number 4704305548) 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 1003286915.

Contact Information

	Shannon Marie Canterbury, NP
	1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
	(734) 936-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Marie Canterbury
Gender	Female
Speciality	Nurse Practitioner
Location	1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003286915
Provider Enumeration Date: 10/05/2015
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 9931402088
Enrollment ID: I20160122001303

Medical Identifiers

Medical identifiers for Shannon Marie Canterbury such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003286915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	APRN.CNP.18422 (Ohio)	Secondary
363L00000X	Nurse Practitioner	4704305548 (Michigan)	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 Marie Canterbury allows following entities to bill medicare on her behalf.

Entity Name	The Toledo Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407854771 PECOS PAC ID: 2961309638 Enrollment ID: O20031218001042

Entity Name	Promedica Central Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245444959 PECOS PAC ID: 6709975345 Enrollment ID: O20071204000485

Entity Name	Mercy Health Physicians-north Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750

Entity Name	Mercy Health Physicians North Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534

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 Marie 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 Marie Canterbury, NP 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299	Shannon Marie Canterbury, NP 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000

Reviews and Comments

Nurse Practitioner Nurses in Ann Arbor, MI

Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108 Phone: 614-562-0824
Nina K Bibicoff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831 Fax: 734-647-8535
Wilma Anne Mackenzie, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Donald Lawson Jr., NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-5780
Ms. Alexis Mae Punches, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109 Phone: 734-764-5302
Amber Nicole Mason-noble, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000

Shannon Marie Canterbury, NP - Medicare Nurse Practitioner in Ann Arbor, MI