Dr Shanna R Sprinkle, MD, MPH - Medicare Surgery in Oxford, NC

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Dr Shanna R Sprinkle, MD, MPH is a medicare enrolled "Surgery" physician in Oxford, North Carolina. Her current practice location is 101 Professional Park Ste B, Oxford, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 603-0368.

Dr Shanna R Sprinkle is licensed to practice in North Carolina (license number 2023-02997) 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 1235574195.

Contact Information

Dr Shanna R Sprinkle, MD, MPH
101 Professional Park Ste B,
Oxford, NC 27565-2580
(919) 603-0368
(919) 690-0842

Map and Direction




Physician's Profile

Full NameDr Shanna R Sprinkle
GenderFemale
SpecialitySurgery
Location101 Professional Park Ste B, Oxford, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235574195
  • Provider Enumeration Date: 05/06/2013
  • Last Update Date: 07/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183071707
  • Enrollment ID: I20231103000641

Medical Identifiers

Medical identifiers for Dr Shanna R Sprinkle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235574195NPI-NPPES
2023-02997OtherNCNC STATE MEDICAL LICENSE
25MA11586200OtherNJNJ STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2023-02997 (North Carolina)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. Dr Shanna R Sprinkle allows following entities to bill medicare on her behalf.
Entity NameGranville Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336380708
PECOS PAC ID: 0840341822
Enrollment ID: O20090702000411

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. Dr Shanna R Sprinkle 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 AddressPractice Location Address
Dr Shanna R Sprinkle, MD, MPH
2521 Greenway Boulevard,
Roselle, NJ 07203

Ph: (405) 226-6883		Dr Shanna R Sprinkle, MD, MPH
101 Professional Park Ste B,
Oxford, NC 27565-2580

Ph: (919) 603-0368

Reviews and Comments


Surgery Doctors in Oxford, NC

Dr. Shane Michael Hodge, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 102 Professional Park Ste C, Oxford, NC 27565
Phone: 919-603-0368    Fax: 919-690-0842
Dr. Naveen Kumar, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 102 Professional Park Ste C, Oxford, NC 27565
Phone: 919-603-0368    Fax: 919-690-0842

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.