Shannon Marlene Denisoff, AGPCNP-BC in Glens Falls, NY

Shannon Marlene Denisoff, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Glens Falls, New York. Her current practice location is 100 Broad St, Glens Falls, New York. You can reach out to her office (for appointments etc.) via phone at (518) 792-2223.

Shannon Marlene Denisoff is licensed to practice in New York (license number 311144) 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 1629787916.

Contact Information

	Shannon Marlene Denisoff, AGPCNP-BC
	100 Broad St, Glens Falls, NY 12801-4349
	(518) 792-2223
	(518) 792-8231

Map and Direction

Provider's Profile

Full Name	Shannon Marlene Denisoff
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	100 Broad St, Glens Falls, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629787916
Provider Enumeration Date: 11/16/2022
Last Update Date: 05/09/2025

Medicare PECOS Information:

PECOS PAC ID: 1951773548
Enrollment ID: I20230208000448

Medical Identifiers

Medical identifiers for Shannon Marlene Denisoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629787916	NPI	-	NPPES
07551980	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	311144 (New York)	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 Marlene Denisoff allows following entities to bill medicare on her behalf.

Entity Name	Saratoga Family Medicine,pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386730752 PECOS PAC ID: 1153370515 Enrollment ID: O20050113000086

Entity Name	St. Peter's Health Partners Medical Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567

Entity Name	American Arthritis Rheumatology Associate - Ny Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730736463 PECOS PAC ID: 9739515123 Enrollment ID: O20200203001727

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 Marlene Denisoff 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 Marlene Denisoff, AGPCNP-BC 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300	Shannon Marlene Denisoff, AGPCNP-BC 100 Broad St, Glens Falls, NY 12801-4349 Ph: (518) 792-2223

Reviews and Comments

Nurse Practitioner Nurses in Glens Falls, NY

Ashley Rose Jackson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Broad St Ste 3, Glens Falls, NY 12801 Phone: 518-798-9538
Ms. Whitney Taylor Flansburg, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Irongate Ctr, Glens Falls, NY 12801 Phone: 518-793-5034
Mrs. Laurie Ann Mckenna, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43 S Western Ave, Glens Falls, NY 12801 Phone: 518-223-0812 Fax: 518-223-0813
Katherine Mehrens Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Broad St, Glens Falls, NY 12801 Phone: 518-798-9538 Fax: 518-798-9576
Mrs. Rachel Waters, MSN, RN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 84 Broad St Ste 2, Glens Falls, NY 12801 Phone: 518-636-5284
Elizabeth M Spooner-dunn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls Hospital, Glens Falls, NY 12801 Phone: 518-926-5918 Fax: 518-926-5917
Jessica Breanne Cutler, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Irongate Ctr Ste 2, Glens Falls, NY 12801 Phone: 518-793-4409

Shannon Marlene Denisoff, AGPCNP-BC - Medicare Nurse Practitioner in Glens Falls, NY