Shannon Vanzummeren, APN is a medicare enrolled "Nurse Practitioner - Family" in Oquawka, Illinois. Her current practice location is
1204 Highway 164 E, Po Box 198, Oquawka, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 867-2202.
Shannon Vanzummeren is licensed to practice in Illinois (license number 209.013114) 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 1205202074.
Provider's Profile
Full Name | Shannon Vanzummeren |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1204 Highway 164 E, Oquawka, Illinois |
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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: 1205202074
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 02/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517275498
- Enrollment ID: I20241205003715
Medical Identifiers
Medical identifiers for Shannon Vanzummeren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205202074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.013114 (Illinois) | 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 Vanzummeren allows following entities to bill medicare on her behalf.
Entity Name | Henderson County Rural Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548314834 PECOS PAC ID: 3577596030 Enrollment ID: O20100824000623 |
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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 Vanzummeren 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 Vanzummeren, APN Po Box 198, Oquawka, IL 61469-0198 Ph: (309) 924-2414 | Shannon Vanzummeren, APN 1204 Highway 164 E, Po Box 198, Oquawka, IL 61469-6146 Ph: (309) 867-2202 |
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