Dr Shelley Anita Cullum-bonner, DNP in Paragould, AR

Dr Shelley Anita Cullum-bonner, DNP is a medicare enrolled "Nurse Practitioner" in Paragould, Arkansas. Her current practice location is 2004 Suburban Ln, Paragould, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 573-0202.

Dr Shelley Anita Cullum-bonner is licensed to practice in Florida (license number 9446179) 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 1285186221.

Contact Information

	Dr Shelley Anita Cullum-bonner, DNP
	2004 Suburban Ln, Paragould, AR 72450-6151
	(870) 573-0202
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Shelley Anita Cullum-bonner
Gender	Female
Speciality	Nurse Practitioner
Location	2004 Suburban Ln, Paragould, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285186221
Provider Enumeration Date: 10/25/2016
Last Update Date: 10/25/2016

Medicare PECOS Information:

PECOS PAC ID: 4486925633
Enrollment ID: I20171227000387

Medical Identifiers

Medical identifiers for Dr Shelley Anita Cullum-bonner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285186221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	9446179 (Florida)	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 Shelley Anita Cullum-bonner allows following entities to bill medicare on her behalf.

Entity Name	P. Reddy Tukivakala, M.d., P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689798449 PECOS PAC ID: 0840343000 Enrollment ID: O20090805000445

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 Shelley Anita Cullum-bonner 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
Dr Shelley Anita Cullum-bonner, DNP 2004 Suburban Ln, Paragould, AR 72450-6151 Ph: (870) 573-0202	Dr Shelley Anita Cullum-bonner, DNP 2004 Suburban Ln, Paragould, AR 72450-6151 Ph: (870) 573-0202

Reviews and Comments

Nurse Practitioner Nurses in Paragould, AR

Susan A Harris, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Goldsmith Rd, Paragould, AR 72450 Phone: 870-236-7782 Fax: 870-236-9610
Allison Smith, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 W Kingshighway, Paragould, AR 72450 Phone: 870-239-7000
Lauren Elizabeth Cude, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Greene 7242 Rd, Paragould, AR 72450 Phone: 870-333-5488 Fax: 870-333-5442
Garrett Thomas Wray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 W Kingshighway, Paragould, AR 72450 Phone: 870-936-8000 Fax: 870-240-8833
Cecil Preston Massey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Carriage Hill Dr Ste B, Paragould, AR 72450 Phone: 870-573-2200 Fax: 870-236-4009
Cathy Louise Young, DNSC, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 W Kingshighway, Suite #4, Paragould, AR 72450 Phone: 870-239-3600
Amy M Wynn, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2420 Linwood Drive Suite 3, Paragould, AR 72450 Phone: 870-236-9756 Fax: 870-236-9356

Dr Shelley Anita Cullum-bonner, DNP - Medicare Nurse Practitioner in Paragould, AR