Elizabeth Layne Shadis, CRNP in Baltimore, MD

Elizabeth Layne Shadis, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Baltimore, Maryland. She went to University Of Maryland School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Personal Physician Care, Llc and her current practice location is 1331 S Hanover St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 996-7528.

Elizabeth Layne Shadis is licensed to practice in Maryland (license number R122580) 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 1275545980.

Contact Information

	Elizabeth Layne Shadis, CRNP
	1331 S Hanover St, Baltimore, MD 21230-4220
	(443) 996-7528
	(410) 837-1552

Map and Direction

Provider's Profile

Full Name	Elizabeth Layne Shadis
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	1331 S Hanover St, Baltimore, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth Layne Shadis attended and graduated from University Of Maryland School Of Medicine in 1998

NPI Data:

NPI Number: 1275545980
Provider Enumeration Date: 08/12/2006
Last Update Date: 08/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5496813271
Enrollment ID: I20081023000099

Medical Identifiers

Medical identifiers for Elizabeth Layne Shadis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275545980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R122580 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Seasons Hospice & Palliative Care	Columbia, MD	Hospice
Hospice Of The Chesapeake	Pasadena, MD	Hospice
Anne Arundel Medical Center	Annapolis, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Personal Physician Care, Llc	3274683289	12

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. Elizabeth Layne Shadis allows following entities to bill medicare on her behalf.

Entity Name	Five Star Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083654479 PECOS PAC ID: 3779572862 Enrollment ID: O20040528000495

Entity Name	Personal Physician Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326274853 PECOS PAC ID: 3274683289 Enrollment ID: O20090615000031

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. Elizabeth Layne Shadis 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
Elizabeth Layne Shadis, CRNP 6334 Cedar Ln Ste 103, Columbia, MD 21044-4172 Ph: (410) 531-2355	Elizabeth Layne Shadis, CRNP 1331 S Hanover St, Baltimore, MD 21230-4220 Ph: (443) 996-7528

Reviews and Comments

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Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
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Elizabeth Layne Shadis, CRNP - Medicare Nurse Practitioner in Baltimore, MD