Dr Shannon Marie Barsema, PHD - Medicare in Clearwater, FL

Dr Shannon Marie Barsema, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Clearwater, Florida. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Baycare Medical Group, Inc. and her current practice location is 430 Morton Plant St, Suite 402, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 461-8635.

Dr Shannon Marie Barsema is licensed to practice in Florida (license number PY 9339) 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 1104180280.

Contact Information

Dr Shannon Marie Barsema, PHD
430 Morton Plant St, Suite 402,
Clearwater, FL 33756-3398
(727) 461-8635
(727) 333-6038



Healthcare Provider's Profile

Full NameDr Shannon Marie Barsema
GenderFemale
SpecialityClinical Psychologist
Experience14 Years
Location430 Morton Plant St, Clearwater, Florida
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:
  • Dr Shannon Marie Barsema graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1104180280
  • Provider Enumeration Date: 07/03/2012
  • Last Update Date: 03/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325294226
  • Enrollment ID: I20160808000710

Medical Identifiers

Medical identifiers for Dr Shannon Marie Barsema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104180280NPI-NPPES
P01713937OtherFLRAILROAD MEDICARE PROVIDER NUMBER
023608600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0700XPsychologist - Adult Development & Aging PY 9339 (Florida)Secondary
103TC0700XPsychologist - Clinical PY 9339 (Florida)Secondary
103G00000XClinical Neuropsychologist PY 9339 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Medical Group, Inc.6406753623959

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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. Dr Shannon Marie Barsema allows following entities to bill medicare on her behalf.
Entity NameBaycare Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269871
PECOS PAC ID: 6406753623
Enrollment ID: O20031216000718

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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. Dr Shannon Marie Barsema 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
Dr Shannon Marie Barsema, PHD
430 Morton Plant St Ste 401,
Clearwater, FL 33756-3394

Ph: (727) 298-6025
Dr Shannon Marie Barsema, PHD
430 Morton Plant St, Suite 402,
Clearwater, FL 33756-3398

Ph: (727) 461-8635

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