Dr Shanna Shackelford, DNP-APRN - Medicare Nurse Practitioner in Bolivar, TN

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Dr Shanna Shackelford, DNP-APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bolivar, Tennessee. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 11100 Old Hwy 64 W, Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 300-6808.

Dr Shanna Shackelford is licensed to practice in Tennessee (license number 26359) 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 1720639172.

Contact Information

Dr Shanna Shackelford, DNP-APRN
11100 Old Hwy 64 W,
Bolivar, TN 38008
(901) 300-6808
Not Available

Map and Direction




Provider's Profile

Full NameDr Shanna Shackelford
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location11100 Old Hwy 64 W, Bolivar, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shanna Shackelford graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1720639172
  • Provider Enumeration Date: 09/26/2019
  • Last Update Date: 10/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355779711
  • Enrollment ID: I20200317002651

Medical Identifiers

Medical identifiers for Dr Shanna Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720639172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26359 (Tennessee)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. Dr Shanna Shackelford allows following entities to bill medicare on her behalf.
Entity NameState Of Tennessee-western Mental Health Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538114020
PECOS PAC ID: 3072557941
Enrollment ID: O20050613000721
Entity NamePsycare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851870778
PECOS PAC ID: 5496094765
Enrollment ID: O20190304002101
Entity NameBeautiful Minds Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770213928
PECOS PAC ID: 7810372257
Enrollment ID: O20220921000226

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. Dr Shanna Shackelford 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
Dr Shanna Shackelford, DNP-APRN
9245 Poplar Ave Ste 368,
Germantown, TN 38138-7931

Ph: (901) 300-6808		Dr Shanna Shackelford, DNP-APRN
11100 Old Hwy 64 W,
Bolivar, TN 38008

Ph: (901) 300-6808

Reviews and Comments


Nurse Practitioner Nurses in Bolivar, TN

Mrs. Tammi L Ferguson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Market St, Suite J, Bolivar, TN 38008
Phone: 731-652-5772    Fax: 731-658-1981
Ms. Jeannie A Ferri, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-658-4079
Maggie G. Billings, FNP, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11100 Highway 64, Bolivar, TN 38008
Phone: 731-518-8480    Fax: 731-658-4216
Rachel Tosh, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1359 W Market St, Bolivar, TN 38008
Phone: 731-361-1003    Fax: 731-361-1004
Gregary Byers, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 Tennessee St, Bolivar, TN 38008
Phone: 731-212-3196    Fax: 731-212-3193
Dr. Avanti Cross-brown, RN, APRN, PMHNP, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 793 Tennessee St, Bolivar, TN 38008
Phone: 901-864-9563    Fax: 901-425-9773
Mrs. Kayla Jolly Holt, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-394-1145    

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.