Amy Nicole Shortt, ACNP-AG is a medicare enrolled "Nurse Practitioner - Community Health" in Honaker, Virginia. Her current practice location is
5705 Redbud Hwy, Honaker, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 873-6300.
Amy Nicole Shortt is licensed to practice in Virginia (license number 0024190101) 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 1891451936.
Provider's Profile
| Full Name | Amy Nicole Shortt |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Community Health |
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| Location | 5705 Redbud Hwy, Honaker, Virginia |
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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: 1891451936
- Provider Enumeration Date: 11/12/2021
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072981638
- Enrollment ID: I20240808000004
Medical Identifiers
Medical identifiers for Amy Nicole Shortt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891451936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 2021040583 (Missouri) | Secondary |
| 363LC1500X | Nurse Practitioner - Community Health | 0024190101 (Virginia) | 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. Amy Nicole Shortt allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669674685
PECOS PAC ID: 5890769863
Enrollment ID: O20040825000081 |
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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. Amy Nicole Shortt 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 |
|---|
Amy Nicole Shortt, ACNP-AG
5705 Rose Bud Hwy,
Honaker, VA 24260
Ph: (276) 873-6300 | Amy Nicole Shortt, ACNP-AG
5705 Redbud Hwy,
Honaker, VA 24260-7436
Ph: (276) 873-6300 |
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