Andrea Shawn Wise, AGACNP - Medicare Nurse Practitioner in Beaver Dam, KY

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Andrea Shawn Wise, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Beaver Dam, Kentucky. Her current practice location is 5025 S Us Highway 231, Beaver Dam, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 274-6054.

Andrea Shawn Wise is licensed to practice in Kentucky (license number 3017990) 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 1376275578.

Contact Information

Andrea Shawn Wise, AGACNP
5025 S Us Highway 231,
Beaver Dam, KY 42320-9473
(270) 274-6054
(410) 341-8099

Map and Direction




Provider's Profile

Full NameAndrea Shawn Wise
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location5025 S Us Highway 231, Beaver Dam, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376275578
  • Provider Enumeration Date: 06/27/2022
  • Last Update Date: 01/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941671655
  • Enrollment ID: I20230117001306

Medical Identifiers

Medical identifiers for Andrea Shawn Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376275578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 3017990 (Kentucky)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. Andrea Shawn Wise allows following entities to bill medicare on her behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306983762
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656
Entity NameConcord Medical Group Of Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346746385
PECOS PAC ID: 9133483894
Enrollment ID: O20180503002233

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. Andrea Shawn Wise 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 AddressPractice Location Address
Andrea Shawn Wise, AGACNP
5025 S Us Highway 231,
Beaver Dam, KY 42320-9473

Ph: (270) 274-6054		Andrea Shawn Wise, AGACNP
5025 S Us Highway 231,
Beaver Dam, KY 42320-9473

Ph: (270) 274-6054

Reviews and Comments


Nurse Practitioner Nurses in Beaver Dam, KY

Mrs. Susan Smith Rice, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320
Phone: 270-274-0638    Fax: 270-274-5600
Courtney Nicole Vincent, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1213 N Main St, Beaver Dam, KY 42320
Phone: 270-274-4771    Fax: 270-274-4884
Bridget Colette Johnson, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1313 N Main St, Beaver Dam, KY 42320
Phone: 270-274-9928    Fax: 270-274-0134
Felicia Ann Shephard, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1221 N Main St, Beaver Dam, KY 42320
Phone: 270-775-6060    Fax: 270-775-6010
Haley Lynn Rascoe, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1213 N Main St, Beaver Dam, KY 42320
Phone: 270-274-4771    Fax: 270-274-4884
Cynthia R Wilson, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1313 N Main St, Beaver Dam, KY 42320
Phone: 270-298-9928    Fax: 270-274-0134

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.