Shannon Simmons, - Medicare Gastroenterology in Providence, RI

Shannon Simmons, is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Providence, Rhode Island. She went to Warren Alpert Medical School Of Brown University and graduated in 2013 and has 11 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Lifespan Physician Group Inc and her current practice location is 593 Eddy St, Apc 406, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-5031.

Shannon Simmons is licensed to practice in Rhode Island (license number MD16784) 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 1619210630.

Contact Information

Shannon Simmons,
593 Eddy St, Apc 406,
Providence, RI 02903-4923
(401) 444-5031
Not Available



Physician's Profile

Full NameShannon Simmons
GenderFemale
SpecialityGastroenterology
Experience11 Years
Location593 Eddy St, Providence, Rhode Island
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 Simmons attended and graduated from Warren Alpert Medical School Of Brown University in 2013
  NPI Data:
  • NPI Number: 1619210630
  • Provider Enumeration Date: 03/27/2013
  • Last Update Date: 12/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678705738
  • Enrollment ID: I20190823001293

Medical Identifiers

Medical identifiers for Shannon Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619210630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD16784 (Rhode Island)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082631

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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 Simmons allows following entities to bill medicare on her behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105

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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 Simmons 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 Simmons,
593 Eddy St, Apc 406,
Providence, RI 02903-4923

Ph: (401) 444-5031
Shannon Simmons,
593 Eddy St, Apc 406,
Providence, RI 02903-4923

Ph: (401) 444-5031

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Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 245 Chapman St Ste 300, Providence, RI 02905
Phone: 401-444-4741    Fax: 401-444-4445
Karl Herman, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Muhammad Baig, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Dr. Peter Sidhom, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 603-560-2276    
Dr. Kanhai Farrakhan, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-457-3336    Fax: 401-525-2349
Gary M Katzman, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200

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