Dr Shannon Noel Cosentino, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Colorado Springs, Colorado. Her current practice location is
805 S Cascade Ave, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 473-9200.
Dr Shannon Noel Cosentino is licensed to practice in * (Not Available) (license number ) 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 1811246168.
Healthcare Provider's Profile
| Full Name | Dr Shannon Noel Cosentino |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 805 S Cascade Ave, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811246168
- Provider Enumeration Date: 09/02/2012
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779862537
- Enrollment ID: I20210520001669
Medical Identifiers
Medical identifiers for Dr Shannon Noel Cosentino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811246168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 0004379 (Colorado) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | 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 Noel Cosentino allows following entities to bill medicare on her behalf.
| Entity Name | Nexus Physicians Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669765137
PECOS PAC ID: 5294994554
Enrollment ID: O20120307000116 |
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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. Dr Shannon Noel Cosentino 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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Dr Shannon Noel Cosentino, PSYD
16132 Old Forest Pt, Unit 307,
Monument, CO 80132-8678
Ph: (847) 630-5594 | Dr Shannon Noel Cosentino, PSYD
805 S Cascade Ave,
Colorado Springs, CO 80903-4101
Ph: (719) 473-9200 |
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