Shelby Knapp, FNP is a medicare enrolled "Family Medicine" physician in Bolivar, New York. Her current practice location is
120 1st St, Bolivar, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 928-1600.
Shelby Knapp is licensed to practice in New York (license number 353072) 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 1750154886.
Physician's Profile
| Full Name | Shelby Knapp |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 120 1st St, Bolivar, New York |
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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: 1750154886
- Provider Enumeration Date: 10/31/2023
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103267745
- Enrollment ID: I20240514000322
Medical Identifiers
Medical identifiers for Shelby Knapp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750154886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 353072 (New York) | 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. Shelby Knapp allows following entities to bill medicare on her behalf.
| Entity Name | The Memorial Hospital Of William F And Gertrude F Jones Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720030703
PECOS PAC ID: 7012828486
Enrollment ID: O20040310000938 |
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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. Shelby Knapp 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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Shelby Knapp, FNP
Po Box 592,
Eldred, PA 16731-0592
Ph: () - | Shelby Knapp, FNP
120 1st St,
Bolivar, NY 14715-1132
Ph: (585) 928-1600 |
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