Shayla Sewell, is a medicare enrolled "Nurse Practitioner - Family" physician in Carrollton, Texas. Her current practice location is
4116 Tx 121 Suite 120 Office C, Carrollton, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 843-0713.
Shayla Sewell is licensed to practice in Texas (license number 1020315) 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 1427633635.
Physician's Profile
Full Name | Shayla Sewell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4116 Tx 121 Suite 120 Office C, Carrollton, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427633635
- Provider Enumeration Date: 03/10/2021
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103200779
- Enrollment ID: I20220831000614
Medical Identifiers
Medical identifiers for Shayla Sewell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427633635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1020315 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 212804 (Arkansas) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 1020315 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1020315 (Texas) | 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. Shayla Sewell allows following entities to bill medicare on her behalf.
Entity Name | Infinite Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20211019000012 |
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Entity Name | Evolve Wellness And Aesthetics Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942940812 PECOS PAC ID: 1254704745 Enrollment ID: O20230303000635 |
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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. Shayla Sewell 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 |
Shayla Sewell, 12650 N Beach St Ste 114, Fort Worth, TX 76244-4245 Ph: (214) 843-0713 | Shayla Sewell, 4116 Tx 121 Suite 120 Office C, Carrollton, TX 75010 Ph: (214) 843-0713 |
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