Shannon Elisa Heffernan, MD - Medicare Student in an Organized Health Care Education/Training Program in Fresno, CA

Shannon Elisa Heffernan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fresno, California. Her current practice location is 155 N Fresno St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 499-6400.

Shannon Elisa Heffernan 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 1023697679.

Contact Information

Shannon Elisa Heffernan, MD
155 N Fresno St,
Fresno, CA 93701-2302
(559) 499-6400
Not Available



Physician's Profile

Full NameShannon Elisa Heffernan
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location155 N Fresno St, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023697679
  • Provider Enumeration Date: 04/02/2021
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042612178
  • Enrollment ID: I20210713001138

Medical Identifiers

Medical identifiers for Shannon Elisa Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023697679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 81155 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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 Elisa Heffernan 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
Shannon Elisa Heffernan, MD
155 N Fresno St,
Fresno, CA 93701-2302

Ph: () -
Shannon Elisa Heffernan, MD
155 N Fresno St,
Fresno, CA 93701-2302

Ph: (559) 499-6400

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