Shannon Michelle Gillespie, PA-C - Medicare Physician Assistant in Modesto, CA

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Shannon Michelle Gillespie, PA-C is a medicare enrolled "Physician Assistant" in Modesto, California. Her current practice location is 1441 Florida Avenue, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 576-3609.

Shannon Michelle Gillespie is licensed to practice in California (license number PA17889) 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 1063459683.

Contact Information

Shannon Michelle Gillespie, PA-C
1441 Florida Avenue,
Modesto, CA 95350
(209) 576-3609
Not Available

Map and Direction




Provider's Profile

Full NameShannon Michelle Gillespie
GenderFemale
SpecialityPhysician Assistant
Location1441 Florida Avenue, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063459683
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 11/27/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1759392392
  • Enrollment ID: I20060511000170

Medical Identifiers

Medical identifiers for Shannon Michelle Gillespie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063459683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA17889 (California)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 Michelle Gillespie allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520

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 Michelle Gillespie 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 AddressPractice Location Address
Shannon Michelle Gillespie, PA-C
2100 Powell Street, Ste 920,
Emeryville, CA 94608-1803

Ph: (510) 350-2600		Shannon Michelle Gillespie, PA-C
1441 Florida Avenue,
Modesto, CA 95350

Ph: (209) 576-3609

Reviews and Comments


Physician Assistant Nurses in Modesto, CA

Melina Lanzar,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Florida Ave, Modesto, CA 95350
Phone: 209-578-1211    
Ms. Manpreet Kaur Sheabat, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355
Phone: 209-726-7381    
Viviana Vera, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350
Phone: 209-291-0687    
Penny Goumenidis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Florida Ave, Modesto, CA 95350
Phone: 209-578-1211    
Ingrid Stephanie Medina, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 818-503-1233    
Kevin Noel Bixel, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355
Phone: 209-550-4779    
Mr. Jason Frazer, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Florida Ave, Modesto, CA 95350
Phone: 209-578-1211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.