Mrs Barbara Crystal Shackelford, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Highland, Arkansas. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Bernards Physician Clinics Inc and her current practice location is
1995 Highway 62 412, Highland, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 856-5620.
Mrs Barbara Crystal Shackelford is licensed to practice in Arkansas (license number A005877) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164907283.
Physician's Profile
Full Name | Mrs Barbara Crystal Shackelford |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 1995 Highway 62 412, Highland, Arkansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Barbara Crystal Shackelford graduated from medical school in 2018
NPI Data:
- NPI Number: 1164907283
- Provider Enumeration Date: 09/25/2018
- Last Update Date: 04/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 9537588298
- Enrollment ID: I20200929002495
Medical Identifiers
Medical identifiers for Mrs Barbara Crystal Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164907283 | NPI | - | NPPES |
252346758 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A005877 (Arkansas) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | A005877 (Arkansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | A005877 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Bernards Physician Clinics Inc | 7012311269 | 173 |
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. Mrs Barbara Crystal Shackelford allows following entities to bill medicare on her behalf.
Entity Name | Doctors Health Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154812402 PECOS PAC ID: 7315844586 Enrollment ID: O20180612000177 |
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Entity Name | St Bernards Physician Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
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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. Mrs Barbara Crystal Shackelford 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 |
Mrs Barbara Crystal Shackelford, APRN 58 Isleta Dr, Cherokee Village, AR 72529-5013 Ph: (870) 955-1234 | Mrs Barbara Crystal Shackelford, APRN 1995 Highway 62 412, Highland, AR 72542-9262 Ph: (870) 856-5620 |
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