Shannon Petukhov, MD - Medicare Emergency Medicine in Annapolis, MD

Shannon Petukhov, MD is a medicare enrolled "Emergency Medicine" physician in Annapolis, Maryland. Her current practice location is 2001 Medical Pkwy, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 481-1366.

Shannon Petukhov is licensed to practice in Maryland (license number D0087812) 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 1427402627.

Contact Information

Shannon Petukhov, MD
2001 Medical Pkwy,
Annapolis, MD 21401-3773
(443) 481-1366
Not Available



Physician's Profile

Full NameShannon Petukhov
GenderFemale
SpecialityEmergency Medicine
Location2001 Medical Pkwy, Annapolis, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427402627
  • Provider Enumeration Date: 04/14/2016
  • Last Update Date: 02/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779877055
  • Enrollment ID: I20191023003627

Medical Identifiers

Medical identifiers for Shannon Petukhov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427402627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine D0087812 (Maryland)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 Petukhov allows following entities to bill medicare on her behalf.
Entity NameDoctors Emergency Service, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528171840
PECOS PAC ID: 4486644598
Enrollment ID: O20040512001075

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Entity NameLuminis Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073580205
PECOS PAC ID: 2860447315
Enrollment ID: O20050317000146

News Archive

An active mind delays the onset of Alzheimer's

Learning appears to slow the development of two brain lesions that are the hallmarks of Alzheimer's disease, scientists at UC Irvine have discovered. The finding suggests that the elderly, by keeping their minds active, can help delay the onset of this degenerative disease.

First Edition: June 9, 2011

Today's headlines include reports from yesterday's action in an Atlanta courtroom where oral arguments were held in an appeal related to the multi-state challenge to the health law.

Public hospital patients are often denied access to Laparoscopic Adjustable Gastric Banding (LAGB) surgery

Public hospital patients are often denied access to one of the most effective forms of weight loss treatment Laparoscopic Adjustable Gastric Banding (LAGB) surgery, a Monash expert says.

Benefits of drug L-methionine for neurogenic bladder disorders unclear

It is unclear whether patients with neurogenic bladder disorders benefit from the drug L-methionine. The only study currently available provides neither proof of benefit nor proof of harm. This is the result of a report published by the German Institute for Quality and Efficiency in Health Care (IQWiG) on 12 July 2010.

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› Verified 8 days ago

Entity NameChester River Hospital Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679536809
PECOS PAC ID: 0749220671
Enrollment ID: O20050510000504

News Archive

An active mind delays the onset of Alzheimer's

Learning appears to slow the development of two brain lesions that are the hallmarks of Alzheimer's disease, scientists at UC Irvine have discovered. The finding suggests that the elderly, by keeping their minds active, can help delay the onset of this degenerative disease.

First Edition: June 9, 2011

Today's headlines include reports from yesterday's action in an Atlanta courtroom where oral arguments were held in an appeal related to the multi-state challenge to the health law.

Public hospital patients are often denied access to Laparoscopic Adjustable Gastric Banding (LAGB) surgery

Public hospital patients are often denied access to one of the most effective forms of weight loss treatment Laparoscopic Adjustable Gastric Banding (LAGB) surgery, a Monash expert says.

Benefits of drug L-methionine for neurogenic bladder disorders unclear

It is unclear whether patients with neurogenic bladder disorders benefit from the drug L-methionine. The only study currently available provides neither proof of benefit nor proof of harm. This is the result of a report published by the German Institute for Quality and Efficiency in Health Care (IQWiG) on 12 July 2010.

Read more Medical News

› Verified 8 days ago

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 Petukhov 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 Petukhov, MD
110 South Paca Street 6 Fl. Suite 200,
Baltimore, MD 21201-1645

Ph: () -
Shannon Petukhov, MD
2001 Medical Pkwy,
Annapolis, MD 21401-3773

Ph: (443) 481-1366

News Archive

An active mind delays the onset of Alzheimer's

Learning appears to slow the development of two brain lesions that are the hallmarks of Alzheimer's disease, scientists at UC Irvine have discovered. The finding suggests that the elderly, by keeping their minds active, can help delay the onset of this degenerative disease.

First Edition: June 9, 2011

Today's headlines include reports from yesterday's action in an Atlanta courtroom where oral arguments were held in an appeal related to the multi-state challenge to the health law.

Public hospital patients are often denied access to Laparoscopic Adjustable Gastric Banding (LAGB) surgery

Public hospital patients are often denied access to one of the most effective forms of weight loss treatment Laparoscopic Adjustable Gastric Banding (LAGB) surgery, a Monash expert says.

Benefits of drug L-methionine for neurogenic bladder disorders unclear

It is unclear whether patients with neurogenic bladder disorders benefit from the drug L-methionine. The only study currently available provides neither proof of benefit nor proof of harm. This is the result of a report published by the German Institute for Quality and Efficiency in Health Care (IQWiG) on 12 July 2010.

Read more News

› Verified 8 days ago


Emergency Medicine Doctors in Annapolis, MD

Dr. Cornelius Van Der Meer Stamp, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 821 Bay Ridge Ave, Apt A, Annapolis, MD 21403
Phone: 410-268-9590    
Bailey E Lewis, ATC
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 566 Brownson Rd, Annapolis, MD 21402
Phone: 269-319-9216    
Lee A. Goodman, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 79 West St, Annapolis, MD 21401
Phone: 410-268-3627    Fax: 410-267-6372
Jared Kartchner Heal, DO, UMO/DMO USN
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 121 Blake Rd, Annapolis, MD 21402
Phone: 710-293-1706    
Caitlin Mase,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401
Phone: 443-481-1366    
Frederick K Goodwin, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401
Phone: 443-481-1366    
Joseph A Halpern, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401
Phone: 443-481-1366    

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