Winona T Shively, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Whitehall, Pennsylvania. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Luke's Physician Group Inc and her current practice location is
3321 Chestnut St, Whitehall, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 262-7123.
Winona T Shively is licensed to practice in Pennsylvania (license number SP023250) 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 1235722927.
Physician's Profile
Full Name | Winona T Shively |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 3321 Chestnut St, Whitehall, Pennsylvania |
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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:
- Winona T Shively graduated from medical school in 2020
NPI Data:
- NPI Number: 1235722927
- Provider Enumeration Date: 02/15/2021
- Last Update Date: 02/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305252073
- Enrollment ID: I20210303002125
Medical Identifiers
Medical identifiers for Winona T Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235722927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | SP023250 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP023250 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Luke's Physician Group Inc | 6709798333 | 1727 |
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. Winona T Shively allows following entities to bill medicare on her behalf.
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
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Entity Name | Gslpg, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
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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. Winona T Shively 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 |
Winona T Shively, CRNP 1605 N Cedar Crest Blvd Ste 110b, Allentown, PA 18104-2351 Ph: (610) 973-1410 | Winona T Shively, CRNP 3321 Chestnut St, Whitehall, PA 18052-7411 Ph: (610) 262-7123 |
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