Courtney Shane Barrett, NP is a medicare enrolled "Nurse Practitioner - Family" in Crewe, Virginia. Her current practice location is
12522 W Colonial Trail Hwy, Crewe, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 645-9191.
Courtney Shane Barrett is licensed to practice in Virginia (license number 0024177935) 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 1376191197.
Provider's Profile
| Full Name | Courtney Shane Barrett |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 12522 W Colonial Trail Hwy, Crewe, 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: 1376191197
- Provider Enumeration Date: 08/27/2019
- Last Update Date: 08/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 0345632840
- Enrollment ID: I20220112002922
Medical Identifiers
Medical identifiers for Courtney Shane Barrett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376191197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0024177935 (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. Courtney Shane Barrett allows following entities to bill medicare on her behalf.
| Entity Name | Southern Dominion Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295706588
PECOS PAC ID: 0648188755
Enrollment ID: O20040611000631 |
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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. Courtney Shane Barrett 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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Courtney Shane Barrett, NP
14490 Meade Rd,
Amelia Court House, VA 23002-4502
Ph: (252) 394-6162 | Courtney Shane Barrett, NP
12522 W Colonial Trail Hwy,
Crewe, VA 23930-3329
Ph: (434) 645-9191 |
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