Shirley Mohren-graves, ARNP is a medicare enrolled "Nurse Practitioner" provider in Hazard, Kentucky. Her current practice location is
102 Medical Center Dr, Hazard, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 439-6713.
Shirley Mohren-graves is licensed to practice in Kentucky (license number 3003693) 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 1568461465.
Healthcare Provider's Profile
| Full Name | Shirley Mohren-graves |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 102 Medical Center Dr, Hazard, Kentucky |
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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: 1568461465
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 07/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012902810
- Enrollment ID: I20120628000179
Medical Identifiers
Medical identifiers for Shirley Mohren-graves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568461465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 700001394A (Indiana) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 3003693 (Kentucky) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 3003693 (Kentucky) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 4960 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 3003693 (Kentucky) | 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. Shirley Mohren-graves allows following entities to bill medicare on her behalf.
| Entity Name | Natchaug Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295811321
PECOS PAC ID: 5395648737
Enrollment ID: O20040202000008 |
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| Entity Name | The William W Backus Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739 |
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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. Shirley Mohren-graves 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 |
|---|
Shirley Mohren-graves, ARNP
455 S 4th St, Starks Building, Suite 423,
Louisville, KY 40202-2593
Ph: (502) 442-7767 | Shirley Mohren-graves, ARNP
102 Medical Center Dr,
Hazard, KY 41701
Ph: (606) 439-6713 |
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