Shannon Mills, NP is a medicare enrolled "Nurse Practitioner - Family" in Fenwick Island, Delaware. Her current practice location is
1400 Coastal Hwy, Fenwick Island, Delaware. You can reach out to her office (for appointments etc.) via phone at
(443) 373-3245.
Shannon Mills is licensed to practice in Maryland (license number R198429) 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 1588998207.
Provider's Profile
Full Name | Shannon Mills |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1400 Coastal Hwy, Fenwick Island, Delaware |
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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: 1588998207
- Provider Enumeration Date: 09/28/2009
- Last Update Date: 08/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830318716
- Enrollment ID: I20151022000363
Medical Identifiers
Medical identifiers for Shannon Mills such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588998207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | R198429 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | LG-0011482 (Delaware) | Secondary |
363L00000X | Nurse Practitioner | LG-0011482 (Delaware) | Secondary |
363LF0000X | Nurse Practitioner - Family | R198429 (Maryland) | 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 Mills allows following entities to bill medicare on her behalf.
Entity Name | Five Star Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083654479 PECOS PAC ID: 3779572862 Enrollment ID: O20040528000495 |
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Entity Name | Ability Rehab Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356444590 PECOS PAC ID: 4284699406 Enrollment ID: O20041129000855 |
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Entity Name | Chesapeake Medical Solutions, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689733099 PECOS PAC ID: 2264457050 Enrollment ID: O20051011000541 |
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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 Mills 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 Mills, NP Po Box 1613, Berlin, MD 21811-5613 Ph: (443) 373-3245 | Shannon Mills, NP 1400 Coastal Hwy, Fenwick Island, DE 19944-4452 Ph: (443) 373-3245 |
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