Dr Shannon Mong, PSYD in Corvallis, OR - Medicare Psychologist Provider

Dr Shannon Mong, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Corvallis, Oregon. Her current practice location is 922 Nw Circle Blvd # 160-222, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (415) 914-4276.

Dr Shannon Mong is licensed to practice in California (license number 20722) 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 1992725451.

Contact Information

	Dr Shannon Mong, PSYD
	922 Nw Circle Blvd # 160-222, Corvallis, OR 97330-1483
	(415) 914-4276
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shannon Mong
Gender	Female
Speciality	Psychologist - Clinical
Location	922 Nw Circle Blvd # 160-222, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992725451
Provider Enumeration Date: 07/20/2006
Last Update Date: 07/24/2025

Medicare PECOS Information:

PECOS PAC ID: 6103291778
Enrollment ID: I20230412002867

Medical Identifiers

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

Identifier	Type	State	Issuer
1992725451	NPI	-	NPPES
PSY20722	Other	CA	PSYCHOLOGIST LICENSE
PSY3803	Other	OR	PSYCHOLOGIST LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	20722 (California)	Secondary
103TC0700X	Psychologist - Clinical	3803 (Oregon)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	3803 (Oregon)	Secondary
103TC0700X	Psychologist - Clinical	20722 (California)	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. Dr Shannon Mong allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Dr Shannon Mong 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
Dr Shannon Mong, PSYD 922 Nw Circle Blvd Unit 160-222, Corvallis, OR 97330-1483 Ph: (415) 914-4276	Dr Shannon Mong, PSYD 922 Nw Circle Blvd # 160-222, Corvallis, OR 97330-1483 Ph: (415) 914-4276

Reviews and Comments

Psychologist in Corvallis, OR

Dr. Rex W Turner, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 981 Nw Spruce Ave, Corvallis, OR 97330 Phone: 541-758-0766
Joel Garfunkel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 444 Nw Elks Dr, Corvallis, OR 97330 Phone: 541-754-1150
Dr. Paige Kimberly Warner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 744 Nw 4th St, Corvallis, OR 97330 Phone: 541-752-2700
Dr. Erin Fuller Crozier, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 518 Sw 3rd St Ste E, Corvallis, OR 97333 Phone: 541-787-3187 Fax: 541-787-3187
Mr. Markham Scott Giblin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Nw Harrison Blvd, Ste # 140, Corvallis, OR 97330 Phone: 541-738-6516 Fax: 541-738-6517
Kent S Hill, LCP, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835 Fax: 541-766-6186
Julie A Evans Watkins, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 260 Sw Madison Ave Ste 116, Corvallis, OR 97333 Phone: 541-295-0157

Dr Shannon Mong, PSYD - Medicare Psychologist in Corvallis, OR