Shannon Jo Parkos, MD - Medicare Pediatrics in Apple Valley, MN

Shannon Jo Parkos, MD is a medicare enrolled "Pediatrics" physician in Apple Valley, Minnesota. Her current practice location is 15290 Pennock Ln, Mail Stop 32200a, Apple Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 431-8500.

Shannon Jo Parkos is licensed to practice in Minnesota (license number 45472) 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 1578534269.

Contact Information

Shannon Jo Parkos, MD
15290 Pennock Ln, Mail Stop 32200a,
Apple Valley, MN 55124-7163
(952) 431-8500
(952) 431-6966



Physician's Profile

Full NameShannon Jo Parkos
GenderFemale
SpecialityPediatrics
Location15290 Pennock Ln, Apple Valley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578534269
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 01/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103843636
  • Enrollment ID: I20051025000048

Medical Identifiers

Medical identifiers for Shannon Jo Parkos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578534269NPI-NPPES
552432600MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 45472 (Minnesota)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. Shannon Jo Parkos allows following entities to bill medicare on her behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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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 Jo Parkos 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 Jo Parkos, MD
8100 34th Ave S, Ms 21110q,
Bloomington, MN 55425-1672

Ph: (952) 883-5790
Shannon Jo Parkos, MD
15290 Pennock Ln, Mail Stop 32200a,
Apple Valley, MN 55124-7163

Ph: (952) 431-8500

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Pediatrics Doctors in Apple Valley, MN

Dr. Julie A Saxton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-431-8500    Fax: 952-431-8598
James E Dufort, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 14135 Cedar Ave, Suite 100, Apple Valley, MN 55124
Phone: 952-432-4373    Fax: 952-997-5679
Amanda Nelson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-431-8500    Fax: 952-431-8598
Mary Patricia Dourgarian, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 14655 Galaxie Svenue, Apple Valley, MN 55124
Phone: 952-432-6161    Fax: 952-432-7019

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