Look up the most recent NPI and PECOS records

Shannon Drew

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

291 Whitney Ave, Suite 303, New Haven, CT 06511-3724

PECOS Enrollment

Based on the most recent information from CMS, provider Shannon Drew is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1558532747
Provider Type
Individual
Full Name
Drew, Shannon
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/17/2008
Last Updated
6/6/2012

Contact Information

Practice Location

291 Whitney Ave, Suite 303, New Haven, CT 06511-3724

(203) 624-0570

Unlisted Fax

Mailing Location

291 Whitney Ave, Suite 303, New Haven, CT 06511-3724

(203) 624-0570

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 043940 Connecticut

Shannon Drew

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Robert Stern, M.D., P.C.

Abdelnour, Elie

Aversa, David Mathew

Minner, John R

Shimelman, Myer B

Hermes, Gretchen L.

Balasuriya, Lilanthi

Aram, Sepideh Sahar

Bahekar, Pratik Pramod

Gillson, Stefanie Lynn