Shannon L Goldsmith, DO - Medicare Family Practice in Ellisville, MS

Shannon L Goldsmith, DO is a medicare enrolled "Family Medicine" physician in Ellisville, Mississippi. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hattiesburg Clinic, Pa and her current practice location is 822 Main St, Ellisville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 477-2014.

Shannon L Goldsmith is licensed to practice in Mississippi (license number 24285) 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 1477748648.

Contact Information

Shannon L Goldsmith, DO
822 Main St,
Ellisville, MS 39437-2425
(601) 477-2014
(601) 477-9942



Physician's Profile

Full NameShannon L Goldsmith
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location822 Main St, Ellisville, Mississippi
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:
  • Shannon L Goldsmith attended and graduated from Ohio University, College Of Osteopathic Medicine in 2007
  NPI Data:
  • NPI Number: 1477748648
  • Provider Enumeration Date: 09/11/2007
  • Last Update Date: 07/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486786936
  • Enrollment ID: I20160407001390

Medical Identifiers

Medical identifiers for Shannon L Goldsmith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477748648NPI-NPPES
07854358MedicaidMS
12114080OtherOHCAQH
3056277MedicaidOH
0236248MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34009767 (Ohio)Secondary
207Q00000XFamily Medicine 24285 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General Home CareHattiesburg, MSHome health agency
Mississippi Homecare Of RichtonRichton, MSHome health agency
Forrest General Home Care And HospiceHattiesburg, MSHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794489

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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. Shannon L Goldsmith allows following entities to bill medicare on her behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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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 L Goldsmith 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 L Goldsmith, DO
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 477-2014
Shannon L Goldsmith, DO
822 Main St,
Ellisville, MS 39437-2425

Ph: (601) 477-2014

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Research led by Johns Hopkins Children's Center scientists has figured out why a respiratory syncytial virus vaccine used in 1966 to inoculate children against the infection instead caused severe respiratory disease and effectively stopped efforts to make a better one.

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Chinese and WHO officials last week agreed to open a flu research center in Beijing, Bloomberg reports. "The new collaborating center for reference and research on influenza will join a network of WHO-affiliated labs in Atlanta, London, Tokyo and Melbourne that monitor flu strains and make recommendations on vaccines to fight the virus," the news service writes

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Read more News

› Verified 7 days ago


Family Medicine Doctors in Ellisville, MS

Joseph R Danford, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 822 Main St, Ellisville, MS 39437
Phone: 601-477-2014    Fax: 601-477-9942
William Currie, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 822 Main St, Ellisville, MS 39437
Phone: 601-477-2014    Fax: 601-477-9942
Adam T Purvis, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 822 Main St, Ellisville, MS 39437
Phone: 601-477-2014    Fax: 601-579-5240
Dr. Michael Casey, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1203 Avenue B, Ellisville, MS 39437
Phone: 601-477-8553    Fax: 601-477-9158

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