Braxton R Shidler, FNP in Indianapolis, IN - Medicare Nurse Practitioner

Braxton R Shidler, FNP is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. His current practice location is 1745 Union St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 778-4868.

Braxton R Shidler is licensed to practice in Indiana (license number 71012197A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013660786.

Contact Information

	Braxton R Shidler, FNP
	1745 Union St, Indianapolis, IN 46225-1762
	(317) 778-4868
	Not Available

Map and Direction

Provider's Profile

Full Name	Braxton R Shidler
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1745 Union St, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013660786
Provider Enumeration Date: 02/01/2022
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4385038686
Enrollment ID: I20220302002975

Medical Identifiers

Medical identifiers for Braxton R Shidler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013660786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71012197A (Indiana)	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. Braxton R Shidler allows following entities to bill medicare on his behalf.

Entity Name	Hancock Physician Network, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609806470 PECOS PAC ID: 8325952633 Enrollment ID: O20040130000777

Entity Name	Hpw Center For Diabetes Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043680515 PECOS PAC ID: 9537568993 Enrollment ID: O20210604001734

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. Braxton R Shidler 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
Braxton R Shidler, FNP 1745 Union St, Indianapolis, IN 46225-1762 Ph: (317) 778-4868	Braxton R Shidler, FNP 1745 Union St, Indianapolis, IN 46225-1762 Ph: (317) 778-4868

Reviews and Comments

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Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516
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Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1545 N Meridian St, Indianapolis, IN 46202 Phone: 317-923-1491
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617

Braxton R Shidler, FNP - Medicare Nurse Practitioner in Indianapolis, IN