Dr Sharon Blackshire-tubie, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Southfield, Michigan. Her current practice location is
20755 Greenfield Rd, #203, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 395-2206.
Dr Sharon Blackshire-tubie is licensed to practice in Michigan (license number 4704242202) 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 1245764737.
Physician's Profile
| Full Name | Dr Sharon Blackshire-tubie |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 20755 Greenfield Rd, Southfield, Michigan |
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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: 1245764737
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 03/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163651241
- Enrollment ID: I20220406002839
Medical Identifiers
Medical identifiers for Dr Sharon Blackshire-tubie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245764737 | NPI | - | NPPES |
| 4341231 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RN0300X | Internal Medicine - Nephrology | 4704242202 (Michigan) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 4704242202 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704242202 (Michigan) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704242202 (Michigan) | 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 Sharon Blackshire-tubie allows following entities to bill medicare on her behalf.
| Entity Name | Shariot Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063169027
PECOS PAC ID: 0648665349
Enrollment ID: O20220316000604 |
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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. Dr Sharon Blackshire-tubie 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 |
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Dr Sharon Blackshire-tubie, FNP-BC
20755 Greenfield Rd, #203,
Southfield, MI 48075-5403
Ph: (248) 395-2206 | Dr Sharon Blackshire-tubie, FNP-BC
20755 Greenfield Rd, #203,
Southfield, MI 48075-5403
Ph: (248) 395-2206 |
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