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DR. SHANNON M. BENNETT D.O.
NPI 1881836203
Pediatrics in Portland, ME

Active since March 31, 2009PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2541 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon M. Bennett D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON M. BENNETT D.O. (NPI 1881836203) is an individual pediatrics provider in Portland, Maine, licensed in Maine (DO2387) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881836203
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHANNON M. BENNETTCredential: D.O.
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address39 Holmes RdSaco, ME 04072-9364 · (207) 604-0391
Phone(207) 662-2541
Sole ProprietorNo
Enumeration DateMarch 31, 2009
Last NPPES UpdateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1881836203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · DO2387
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License DO2387 (ME)
22 BRAMHALL ST, Portland, ME 04102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon M. Bennett D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Bennett's NPI number?

The NPI number for Shannon Bennett is 1881836203. It was assigned to this individual provider in the NPPES registry on March 31, 2009.

Where is Shannon Bennett located?

Shannon Bennett practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2541.

What is Shannon Bennett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Bennett enrolled in Medicare?

Yes. Shannon Bennett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Bennett was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.