Ms Shantina Michelle Steward, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Buckner, Arkansas. Her current practice location is
70 Lafayette 39 Lot B, Buckner, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 949-9969.
Ms Shantina Michelle Steward is licensed to practice in Arkansas (license number 216710) 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 1356521553.
Healthcare Provider's Profile
| Full Name | Ms Shantina Michelle Steward |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 70 Lafayette 39 Lot B, Buckner, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356521553
- Provider Enumeration Date: 11/06/2007
- Last Update Date: 06/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577099175
- Enrollment ID: I20241205003632
Medical Identifiers
Medical identifiers for Ms Shantina Michelle Steward such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356521553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | R72626 (Arkansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 216710 (Arkansas) | 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. Ms Shantina Michelle Steward allows following entities to bill medicare on her behalf.
| Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326497587
PECOS PAC ID: 4587950589
Enrollment ID: O20180122001018 |
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| Entity Name | Nv Pacs 2 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210811001714 |
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| Entity Name | Cs Pacs 3 Southwest, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275398430
PECOS PAC ID: 1254879620
Enrollment ID: O20240828004216 |
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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. Ms Shantina Michelle Steward 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 Address | Practice Location Address |
|---|
Ms Shantina Michelle Steward,
70 Lafayette 39,
Buckner, AR 71827-9505
Ph: (870) 953-0045 | Ms Shantina Michelle Steward,
70 Lafayette 39 Lot B,
Buckner, AR 71827-9505
Ph: (870) 949-9969 |
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