Djaninn Mae Shannon Mckibben, PA-C in Bismarck, ND - Medicare Physician Assistant

Djaninn Mae Shannon Mckibben, PA-C is a medicare enrolled "Physician Assistant" in Bismarck, North Dakota. Her current practice location is 222 N 7th St, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 323-6000.

Djaninn Mae Shannon Mckibben is licensed to practice in North Dakota (license number PAC0687) 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 1023422805.

Contact Information

	Djaninn Mae Shannon Mckibben, PA-C
	222 N 7th St, Bismarck, ND 58501-4436
	(701) 323-6000
	Not Available

Provider's Profile

Full Name	Djaninn Mae Shannon Mckibben
Gender	Female
Speciality	Physician Assistant
Location	222 N 7th St, Bismarck, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023422805
Provider Enumeration Date: 06/19/2014
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2365750114
Enrollment ID: I20150929001333

Medical Identifiers

Medical identifiers for Djaninn Mae Shannon Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023422805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	11613 (Minnesota)	Secondary
363A00000X	Physician Assistant	PAC0687 (North Dakota)	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. Djaninn Mae Shannon Mckibben 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 Address	Practice Location Address
Djaninn Mae Shannon Mckibben, PA-C Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Djaninn Mae Shannon Mckibben, PA-C 222 N 7th St, Bismarck, ND 58501-4436 Ph: (701) 323-6000

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Physician Assistant Nurses in Bismarck, ND

Burton J Mollman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Coleman St Ste 107, Bismarck, ND 58503 Phone: 701-751-4340 Fax: 701-751-4340
Tracy L Vearrier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2520 N 7th St, Bismarck, ND 58503 Phone: 701-223-6595
Samantha Mollman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 N 10th St, Bismarck, ND 58501 Phone: 701-530-7500
Kari A Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000
Stacie L Moritz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501 Phone: 701-530-6000 Fax: 701-530-6430
Emily M Stevenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2603 E Broadway Ave, Bismarck, ND 58501 Phone: 701-323-5222

Djaninn Mae Shannon Mckibben, PA-C - Medicare Physician Assistant in Bismarck, ND