Shannon Nicole King, MS - Medicare Speech-Language Pathologist in Bainbridge Island, WA

Shannon Nicole King, MS is a medicare enrolled "Speech-language Pathologist" provider in Bainbridge Island, Washington. Her current practice location is 330 Madison Ave S Ste 106, Bainbridge Island, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 451-3084.

Shannon Nicole King is licensed to practice in Washington (license number LL60698639) 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 1275088627.

Contact Information

Shannon Nicole King, MS
330 Madison Ave S Ste 106,
Bainbridge Island, WA 98110-2544
(206) 451-3084
Not Available



Healthcare Provider's Profile

Full NameShannon Nicole King
GenderFemale
SpecialitySpeech-language Pathologist
Location330 Madison Ave S Ste 106, Bainbridge Island, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275088627
  • Provider Enumeration Date: 08/15/2016
  • Last Update Date: 01/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0749562700
  • Enrollment ID: I20170126002241

Medical Identifiers

Medical identifiers for Shannon Nicole King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275088627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist LL60698639 (Washington)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 Nicole King allows following entities to bill medicare on her behalf.
Provider NameKaiser Foundation Health Plan Of Washington
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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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 Nicole King 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 Nicole King, MS
1400 Pottery Ave, Port Orchard Medical Center,
Port Orchard, WA 98366-3768

Ph: (360) 895-5000
Shannon Nicole King, MS
330 Madison Ave S Ste 106,
Bainbridge Island, WA 98110-2544

Ph: (206) 451-3084

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Speech-Language Pathologist in Bainbridge Island, WA

Bridget Dincher,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 330 Madison Ave S, Bainbridge Island, WA 98110
Phone: 206-348-3829    
Brenda Austin, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6186 Ne Lariat Loop, Bainbridge Island, WA 98110
Phone: 651-353-1171    
Ms. Patricia Cahill Haelsig, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 11290 Sunrise Dr Ne, Bainbridge Island, WA 98110
Phone: 206-780-7782    
Madison Kay Pass, SLP-CFY
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 330 Madison Ave S Ste 106, Bainbridge Island, WA 98110
Phone: 206-451-4308    
Mary Phyllis Jensen, CCC-SLP, MS
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4690 Ne North Tolo Rd, Bainbridge Island, WA 98110
Phone: 206-913-3236    
Terren Yvon Lansdaal,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 330 Madison Ave S, Bainbridge Island, WA 98110
Phone: 206-451-4308    
Miller Speech/language Pathology, Inc.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 11837 Venice Loop Ne, Bainbridge Island, WA 98110
Phone: 206-979-4034    

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