Shannon Kay Stanton, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in West Saint Paul, Minnesota. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Associated Clinic Of Psychology Inc and her current practice location is
149 Thompson Ave E Ste 150, West Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 450-0860.
Shannon Kay Stanton is licensed to practice in Minnesota (license number LP6134) 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 1902315096.
Healthcare Provider's Profile
| Full Name | Shannon Kay Stanton |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 149 Thompson Ave E Ste 150, West Saint Paul, 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 Kay Stanton graduated from medical school in 2015
NPI Data:
- NPI Number: 1902315096
- Provider Enumeration Date: 09/21/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456627793
- Enrollment ID: I20171101000080
Medical Identifiers
Medical identifiers for Shannon Kay Stanton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902315096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | LP6134 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Associated Clinic Of Psychology Inc | 0749171320 | 115 |
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 Kay Stanton allows following entities to bill medicare on her behalf.
| Entity Name | Associated Clinic Of Psychology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588741292
PECOS PAC ID: 0749171320
Enrollment ID: O20040323000833 |
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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 Kay Stanton 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 Kay Stanton, PSYD, LP
4240 Park Glen Rd,
St Louis Park, MN 55416-5427
Ph: (612) 925-6033 | Shannon Kay Stanton, PSYD, LP
149 Thompson Ave E Ste 150,
West Saint Paul, MN 55118-3238
Ph: (651) 450-0860 |
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