Shannon Petch, in Zanesville, OH - Medicare Nurse Practitioner

Shannon Petch, is a medicare enrolled "Nurse Practitioner - Acute Care" in Zanesville, Ohio. Her current practice location is 2951 Maple Ave, Zanesville, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 454-4000.

Shannon Petch is licensed to practice in Ohio (license number 0033218) 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 1053018333.

Contact Information

	Shannon Petch,
	2951 Maple Ave, Zanesville, OH 43701-1406
	(740) 454-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Petch
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2951 Maple Ave, Zanesville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053018333
Provider Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0244605517
Enrollment ID: I20230419001461

Medical Identifiers

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

Identifier	Type	State	Issuer
1053018333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0033218 (Ohio)	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 Petch allows following entities to bill medicare on her behalf.

Entity Name	Genesis Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063663433 PECOS PAC ID: 7719040385 Enrollment ID: O20090107000547

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 Petch 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 Petch, 3690 Greenbriar Dr, Zanesville, OH 43701-1594 Ph: () -	Shannon Petch, 2951 Maple Ave, Zanesville, OH 43701-1406 Ph: (740) 454-4000

Reviews and Comments

Nurse Practitioner Nurses in Zanesville, OH

Julilyn Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Bethesda Dr, Zanesville, OH 43701 Phone: 740-569-5737
Sandra J Jones, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 Maple Avenue, Zanesville, OH 43701 Phone: 740-454-4788 Fax: 740-450-6157
Mrs. Barbara Mary Cornali, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 945 Bethesda Dr, Zanesville, OH 43701 Phone: 740-454-4530
Mrs. Sheryl L Ross, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 716 Adair Ave, Zanesville, OH 43701 Phone: 740-454-5239
Leslie Huber, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 Bethesda Dr, Zanesville, OH 43701 Phone: 740-454-7725
Amanda Hunter, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Putnam Ave, Zanesville, OH 43701 Phone: 888-454-5157
Mrs. Michelle Lynne Devoll, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3620 Court Dr, Zanesville, OH 43701 Phone: 740-454-5000

Shannon Petch, - Medicare Nurse Practitioner in Zanesville, OH