Shannon Marie Cislo, PA-C is a medicare enrolled "Physician Assistant" in Callahan, Florida. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Baptist Primary Care Inc and her current practice location is
45465 Fifth Ave, Callahan, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 879-4544.
Shannon Marie Cislo is licensed to practice in Florida (license number PA9117460) 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 1821719899.
Provider's Profile
| Full Name | Shannon Marie Cislo |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 4 Years |
|---|
| Location | 45465 Fifth Ave, Callahan, Florida |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Shannon Marie Cislo graduated from nursing school in 2022
NPI Data:
- NPI Number: 1821719899
- Provider Enumeration Date: 09/08/2022
- Last Update Date: 07/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 3971971466
- Enrollment ID: I20230825003505
Medical Identifiers
Medical identifiers for Shannon Marie Cislo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821719899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9117460 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Baptist Primary Care Inc | 0648177733 | 459 |
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 Cislo allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Primary Care Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248 |
|---|
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 Cislo 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 Cislo, PA-C
Po Box 746638,
Atlanta, GA 30374-6638
Ph: (904) 202-2092 | Shannon Marie Cislo, PA-C
45465 Fifth Ave,
Callahan, FL 32011-3901
Ph: (904) 879-4544 |
Reviews and Comments