Shannon Sullivan Smithson, PA-C in Seaside, CA - Medicare Physician Assistant

Shannon Sullivan Smithson, PA-C is a medicare enrolled "Physician Assistant" in Seaside, California. Her current practice location is 1513 Fremont Blvd Ste E1, Seaside, California. You can reach out to her office (for appointments etc.) via phone at (831) 899-1910.

Shannon Sullivan Smithson is licensed to practice in California (license number 21852) 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 1154603264.

Contact Information

	Shannon Sullivan Smithson, PA-C
	1513 Fremont Blvd Ste E1, Seaside, CA 93955-4319
	(831) 899-1910
	(831) 393-9483

Map and Direction

Provider's Profile

Full Name	Shannon Sullivan Smithson
Gender	Female
Speciality	Physician Assistant
Location	1513 Fremont Blvd Ste E1, Seaside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154603264
Provider Enumeration Date: 09/14/2011
Last Update Date: 04/30/2019

Medicare PECOS Information:

PECOS PAC ID: 8022379163
Enrollment ID: I20190506002863

Medical Identifiers

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

Identifier	Type	State	Issuer
1154603264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	21852 (California)	Primary

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 Sullivan Smithson 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 Sullivan Smithson, PA-C 1513 Fremont Blvd Ste E1, Seaside, CA 93955-4319 Ph: (831) 899-1910	Shannon Sullivan Smithson, PA-C 1513 Fremont Blvd Ste E1, Seaside, CA 93955-4319 Ph: (831) 899-1910

Reviews and Comments

Physician Assistant Nurses in Seaside, CA

Justin Wolfe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1513 Fremont Blvd Ste E1, Seaside, CA 93955 Phone: 831-899-1910
Katelyn Elizabeth-taylor Cassibba, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1156 Fremont Blvd, Seaside, CA 93955 Phone: 831-899-8100 Fax: 831-899-8105
Therese Auza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ctr, Seaside, CA 93955 Phone: 831-772-7070
Emeri Palacio, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1513 Fremont Blvd Ste E1, Seaside, CA 93955 Phone: 831-899-1910

Shannon Sullivan Smithson, PA-C - Medicare Physician Assistant in Seaside, CA