Shannon Marie Johnson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Pendleton, South Carolina. Her current practice location is
7900 Highway 76, Pendleton, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 654-1500.
Shannon Marie Johnson is licensed to practice in South Carolina (license number 3331) 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 1801080619.
Provider's Profile
Full Name | Shannon Marie Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 7900 Highway 76, Pendleton, South 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: 1801080619
- Provider Enumeration Date: 09/05/2007
- Last Update Date: 03/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345413837
- Enrollment ID: I20111027000980
Medical Identifiers
Medical identifiers for Shannon Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801080619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3331 (South 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 Marie Johnson allows following entities to bill medicare on her behalf.
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376595041 PECOS PAC ID: 9032021175 Enrollment ID: O20031105000630 |
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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 Marie Johnson 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 Johnson, NP-C 130 Highway 252, Anderson, SC 29621-5054 Ph: (864) 654-1500 | Shannon Marie Johnson, NP-C 7900 Highway 76, Pendleton, SC 29670-8876 Ph: (864) 654-1500 |
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