Ms Shannon R Russom, NP - Medicare Nurse Practitioner in Williston, VT

Ms Shannon R Russom, NP is a medicare enrolled "Nurse Practitioner - Family" in Williston, Vermont. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Vermont Medical Center Inc and her current practice location is 353 Blair Park Rd, Williston, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 847-1600.

Ms Shannon R Russom is licensed to practice in Vermont (license number 1010017858) 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 1013948850.

Contact Information

Ms Shannon R Russom, NP
353 Blair Park Rd,
Williston, VT 05495-7530
(802) 847-1600
(802) 847-7184



Provider's Profile

Full NameMs Shannon R Russom
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location353 Blair Park Rd, Williston, Vermont
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:
  • Ms Shannon R Russom graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1013948850
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8022054568
  • Enrollment ID: I20050706000527

Medical Identifiers

Medical identifiers for Ms Shannon R Russom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013948850NPI-NPPES
1008958MedicaidVT
150268OtherVTMVP
58796OtherVTBLUE SHIELD
6309101OtherVTAPEX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1010017858 (Vermont)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Univ. Of Vermont - Fletcher Allen Health CareBurlington, VTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Vermont Medical Center Inc3779491071994

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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. Ms Shannon R Russom allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659309615
PECOS PAC ID: 3779491071
Enrollment ID: O20040406001047

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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. Ms Shannon R Russom 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
Ms Shannon R Russom, NP
87 Carse Rd,
Huntington, VT 05462-9550

Ph: (802) 434-4195
Ms Shannon R Russom, NP
353 Blair Park Rd,
Williston, VT 05495-7530

Ph: (802) 847-1600

News Archive

Scientists discover how misfolded proteins can damage cells' energy-producing powerhouses

Working with yeast and human cells, researchers at Johns Hopkins say they have discovered an unexpected route for cells to eliminate protein clumps that may sometimes be the molecular equivalent of throwing too much or the wrong trash into the garbage disposal.

Jobless, uninsured seek health care from COBRA and free clinics

Many people are going without health care in the current economy, but COBRA and free clinics can provide relief.

Antioxidants can contribute to early onset of Type 2 diabetes

An international team of scientists, led by Monash University researchers, has found that anti-oxidants commonly touted for their health-promoting benefits, could contribute to the early onset of Type 2 diabetes.

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Some news outlets take a hard look at the impact that health programs would feel if the scheduled cuts go forward.

Air pollutants may damage fetal cardiovascular development

Microscopic particles in air pollution inhaled by pregnant women may damage fetal cardiovascular development, according to a study by Rutgers researchers.

Read more News

› Verified 1 days ago


Nurse Practitioner Nurses in Williston, VT

Ms. Rebecca Brooklyn, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4185 St George Rd, Williston, VT 05495
Phone: 802-922-2520    Fax: 802-879-5335
Amy Denis, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 586 Oak Hill Rd, Williston, VT 05495
Phone: 802-878-8131    
Anastasiya Lulic, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 586 Oak Hill Rd, Williston, VT 05495
Phone: 802-878-8131    
Ms. Jena S Katzman, APRN, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 586 Oak Hill Rd, Williston, VT 05495
Phone: 802-878-8131    Fax: 802-879-6853
Karyn Harvey Farevaag, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 353 Blair Park Rd, Williston, VT 05495
Phone: 802-847-1470    
Jessica Jawidzik, APRN, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4185 St George Rd, Williston, VT 05495
Phone: 802-266-4465    Fax: 802-531-3226

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