Shannon L Kratzer, FNP is a medicare enrolled "Nurse Practitioner" physician in Newburgh, Indiana. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Plaza Park Family Practice Llc and her current practice location is
3799 Venetian Way, Newburgh, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 471-4302.
Shannon L Kratzer is licensed to practice in Indiana (license number 71003131A) 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 1871821629.
Physician's Profile
| Full Name | Shannon L Kratzer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 3799 Venetian Way, Newburgh, Indiana |
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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. |
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Medical Education and Training:
- Shannon L Kratzer graduated from medical school in 2009
NPI Data:
- NPI Number: 1871821629
- Provider Enumeration Date: 12/04/2009
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800921073
- Enrollment ID: I20100914000752
Medical Identifiers
Medical identifiers for Shannon L Kratzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871821629 | NPI | - | NPPES |
| 000000842553 | Other | IN | ANTHEM |
| 201147000 | Medicaid | IN | |
| P01263641 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 71003131A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71003131A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Plaza Park Family Practice Llc | 4981830585 | 4 |
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. Shannon L Kratzer allows following entities to bill medicare on her behalf.
| Entity Name | Plaza Park Family Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336574490
PECOS PAC ID: 4981830585
Enrollment ID: O20131203001040 |
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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. Shannon L Kratzer 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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Shannon L Kratzer, FNP
Po Box 3276,
Evansville, IN 47731-3276
Ph: (812) 473-0181 | Shannon L Kratzer, FNP
3799 Venetian Way,
Newburgh, IN 47630-8278
Ph: (812) 471-4302 |
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