MS. SHANNON L. CHURCH PA
NPI 1164750105
Physician Assistant - Surgical in Springfield, MA

NPI Status: Active since December 03, 2009

Contact Information

271 CAREW ST
SPRINGFIELD, MA
ZIP 01104
Phone: (413) 748-9349
Fax: (413) 452-6080

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHANNON CHURCH

This page provides the complete NPI Profile along with additional information for Shannon Church, a provider established in Springfield, Massachusetts with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1164750105 assigned on December 2009. The practitioner's primary taxonomy code is 363AS0400X with license number PA3911 (MA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1164750105
Provider Name
MS. SHANNON L. CHURCH PA
Other Name
MS. SHANNON L. LAMBERT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
271 CAREW ST SPRINGFIELD, MA 01104
Location Phone
(413) 748-9349
Location Fax
(413) 452-6080
Mailing Address
271 CAREW ST SPRINGFIELD, MA 01104
Mailing Phone
(413) 748-9349
Mailing Fax
(413) 452-6080
Is Sole Proprietor?
No
Enumeration Date
12-03-2009
Last Update Date
05-18-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA3911
License State
MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PA3911OTHER (01)MAMA PA LICENSE

Medicare Participation & PECOS Enrollment Status

Shannon Church is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Shannon Church is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5991736217

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100107000183

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shannon Church is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MERCY MEDICAL CTR271 CAREW STREET
SPRINGFIELD, MA 01104
(413) 748-9000Acute Care Hospitals

Reviews for MS. SHANNON L. CHURCH PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164750105, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 0 + 1 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164750105.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Specialist
271 CAREW ST
SPRINGFIELD, MA 01104
Radiology (Radiation Oncology)
271 CAREW ST
SPRINGFIELD, MA 01104
Obstetrics & Gynecology (Maternal & Fetal Medicine)
271 CAREW ST, MERCY INPATIENT MEDICAL ASSOCIATES
SPRINGFIELD, MA 01104
Pediatrics
271 CAREW ST
SPRINGFIELD, MA 01104
Radiology (Diagnostic Radiology)
271 CAREW ST
SPRINGFIELD, MA 01104
Internal Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Internal Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Radiology (Vascular & Interventional Radiology)
271 CAREW ST, MERCY MEDICAL CENTER, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Radiology (Diagnostic Radiology)
271 CAREW ST
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Physician Assistant
271 CAREW ST
SPRINGFIELD, MA 01104
Physician Assistant
271 CAREW ST
SPRINGFIELD, MA 01104
Physician Assistant
271 CAREW ST
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST, MERCY MEDICAL CENTER
SPRINGFIELD, MA 01104
Emergency Medicine
271 CAREW ST
SPRINGFIELD, MA 01104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164750105, enumerated as an "individual" on December 03, 2009.

The provider is located at 271 CAREW ST SPRINGFIELD, MA 01104 and the phone number is (413) 748-9349.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Shannon Church is affiliated with: MERCY MEDICAL CTR.