Dr Shannon Penick Pryor, MD - Medicare Otolaryngology in Kensington, MD

Dr Shannon Penick Pryor, MD is a medicare enrolled "Otolaryngology" physician in Kensington, Maryland. She went to Tulane University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Mgmc Llc and her current practice location is 10810 Connecticut Avenue, Kensington, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 929-7100.

Dr Shannon Penick Pryor is licensed to practice in Maryland (license number D0053881) 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 1164598348.

Contact Information

Dr Shannon Penick Pryor, MD
10810 Connecticut Avenue,
Kensington, MD 20895-2138
(301) 929-7100
(301) 929-7114



Physician's Profile

Full NameDr Shannon Penick Pryor
GenderFemale
SpecialityOtolaryngology
Experience31 Years
Location10810 Connecticut Avenue, Kensington, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shannon Penick Pryor attended and graduated from Tulane University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1164598348
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 11/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6002958238
  • Enrollment ID: I20100126000406

Medical Identifiers

Medical identifiers for Dr Shannon Penick Pryor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164598348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0602XOtolaryngology - Otolaryngic Allergy MD33647 (District Of Columbia)Secondary
207YX0602XOtolaryngology - Otolaryngic Allergy 38383 (Colorado)Secondary
207Y00000XOtolaryngology D0053881 (Maryland)Primary
207Y00000XOtolaryngology 0101241142 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medstar Georgetown University HospitalWashington, DCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mgmc Llc9537073119412

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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 Penick Pryor allows following entities to bill medicare on her behalf.
Entity NameMgmc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891797148
PECOS PAC ID: 9537073119
Enrollment ID: O20031220000056

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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 Penick Pryor 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 AddressPractice Location Address
Dr Shannon Penick Pryor, MD
2101 E Jefferson St, Kaiser Permanente Medicare Enrollment Unit,
Rockville, MD 20852-4908

Ph: (301) 816-6660
Dr Shannon Penick Pryor, MD
10810 Connecticut Avenue,
Kensington, MD 20895-2138

Ph: (301) 929-7100

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Otolaryngology Doctors in Kensington, MD

Dr. Gregory R Sater, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895
Phone: 301-929-7100    
Dr. Anthony L Morton, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895
Phone: 301-929-7100    Fax: 301-929-7114
Dr. Eric Charles Sklarew, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 10810 Connecticut Ave, Kaiser Permanente Keensington Medical Center, Kensington, MD 20895
Phone: 301-929-7159    Fax: 301-929-7438
Dr. Deborah Dee Yee Cheung, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 10810 Connecticut Ave, Kensington, MD 20895
Phone: 301-929-7086    Fax: 301-929-7438

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