Shannon Hackett, OTRL is a medicare enrolled "Occupational Therapist" provider in St Cloud, Minnesota. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Centracare Clinic and her current practice location is
3701 12th Street N, Suite 100, St Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 253-7257.
Shannon Hackett is licensed to practice in Minnesota (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982622791.
Healthcare Provider's Profile
| Full Name | Shannon Hackett |
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| Gender | Female |
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| Speciality | Occupational Therapy |
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| Experience | 33 Years |
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| Location | 3701 12th Street N, St Cloud, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Hackett graduated from medical school in 1991
NPI Data:
- NPI Number: 1982622791
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 02/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 8123032984
- Enrollment ID: I20060131000828
Medical Identifiers
Medical identifiers for Shannon Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982622791 | NPI | - | NPPES |
| 1044152 | Other | | P ONE |
| 6405829 | Other | | MEDICA |
| 182G6HA | Other | | BCBS |
| 670000341 | Other | | METRAHEALTH MPIN |
| P00282811 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centracare Clinic | 2466363395 | 632 |
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 Hackett allows following entities to bill medicare on her behalf.
| Provider Name | Centracare Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
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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 Hackett 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 |
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Shannon Hackett, OTRL
3701 12th Street N, Suite 100,
St Cloud, MN 56303
Ph: (320) 253-7257 | Shannon Hackett, OTRL
3701 12th Street N, Suite 100,
St Cloud, MN 56303
Ph: (320) 253-7257 |
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