Shelly Jean Culver, FNP is a medicare enrolled "Nurse Practitioner" physician in Temple, Texas. Her current practice location is
2401 S 31st St, Temple, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 724-2111.
Shelly Jean Culver is licensed to practice in Texas (license number 604926) 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 1881827822.
Physician's Profile
| Full Name | Shelly Jean Culver |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2401 S 31st St, Temple, Texas |
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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: 1881827822
- Provider Enumeration Date: 08/25/2009
- Last Update Date: 06/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 4183751175
- Enrollment ID: I20100422001011
Medical Identifiers
Medical identifiers for Shelly Jean Culver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881827822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | F0709106 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 604926 (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. Shelly Jean Culver allows following entities to bill medicare on her behalf.
| Entity Name | Waco Functional Medicine, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093016826
PECOS PAC ID: 0244416162
Enrollment ID: O20110510000819 |
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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. Shelly Jean Culver 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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Shelly Jean Culver, FNP
Po Box 847556,
Dallas, TX 75284-7556
Ph: () - | Shelly Jean Culver, FNP
2401 S 31st St,
Temple, TX 76508-0001
Ph: (254) 724-2111 |
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