Erica Mathis Shore, FNP in North Wilkesboro, NC

Erica Mathis Shore, FNP is a medicare enrolled "Nurse Practitioner" in North Wilkesboro, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 1370 W D St, North Wilkesboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Erica Mathis Shore is licensed to practice in North Carolina (license number 5011954) 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 1609428887.

Contact Information

	Erica Mathis Shore, FNP
	1370 W D St, North Wilkesboro, NC 28659-3506
	(336) 716-2255
	Not Available

Map and Direction

Provider's Profile

Full Name	Erica Mathis Shore
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1370 W D St, North Wilkesboro, North Carolina
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:

Erica Mathis Shore graduated from nursing school in 2019

NPI Data:

NPI Number: 1609428887
Provider Enumeration Date: 07/09/2019
Last Update Date: 05/20/2021

Medicare PECOS Information:

PECOS PAC ID: 8729318209
Enrollment ID: I20190925003917

Medical Identifiers

Medical identifiers for Erica Mathis Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609428887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5011954 (North Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	5011954 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilkes Regional Medical Center	North wilkesboro, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

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. Erica Mathis Shore allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	County Of Wilkes
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962565788 PECOS PAC ID: 2668529157 Enrollment ID: O20100601000390

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503

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. Erica Mathis Shore 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
Erica Mathis Shore, FNP 1370 W D St, North Wilkesboro, NC 28659-3506 Ph: (336) 903-7900	Erica Mathis Shore, FNP 1370 W D St, North Wilkesboro, NC 28659-3506 Ph: (336) 716-2255

Reviews and Comments

Nurse Practitioner Nurses in North Wilkesboro, NC

Mrs. Marie Leilane Mcelwee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Old Brickyard Rd, North Wilkesboro, NC 28659 Phone: 336-667-2020 Fax: 336-667-5357
Christina Marie Qualheim, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 Fax: 949-561-5143
Mrs. Amber Bass, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1914 W Park Dr, North Wilkesboro, NC 28659 Phone: 336-903-7710 Fax: 336-903-7711
Dr. Sarah Shepherd Miller, RN, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 W Park Dr, North Wilkesboro, NC 28659 Phone: 336-651-2980 Fax: 336-667-2047
Amanda Johnson Turner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 W Park Dr, North Wilkesboro, NC 28659 Phone: 336-651-2980
Denise Johnston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-716-2255 Fax: 336-716-5438
Deanna Dillon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 W Park Dr, North Wilkesboro, NC 28659 Phone: 336-651-2980

Erica Mathis Shore, FNP - Medicare Nurse Practitioner in North Wilkesboro, NC