Forest Wayne Shira, FNP-C in Roseburg, OR - Medicare Nurse Practitioner

Forest Wayne Shira, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Roseburg, Oregon. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Asante Three Rivers Medical Center Llc and his current practice location is 1863 Ne Freemont Ave, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 733-2230.

Forest Wayne Shira is licensed to practice in Oregon (license number 201392914NP-PP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689001000.

Contact Information

	Forest Wayne Shira, FNP-C
	1863 Ne Freemont Ave, Roseburg, OR 97470-3535
	(541) 733-2230
	Not Available

Map and Direction

Provider's Profile

Full Name	Forest Wayne Shira
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1863 Ne Freemont Ave, Roseburg, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Forest Wayne Shira graduated from nursing school in 2013

NPI Data:

NPI Number: 1689001000
Provider Enumeration Date: 09/30/2013
Last Update Date: 04/09/2014

Medicare PECOS Information:

PECOS PAC ID: 2668609132
Enrollment ID: I20131209001748

Medical Identifiers

Medical identifiers for Forest Wayne Shira such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689001000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201392914NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Asante Three Rivers Medical Center	Grants pass, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Asante Three Rivers Medical Center Llc	9931197993	79

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. Forest Wayne Shira allows following entities to bill medicare on his behalf.

Entity Name	Asante
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238

Entity Name	Asante Three Rivers Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367

Entity Name	Doctors Emergency Room Corp Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749

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. Forest Wayne Shira 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
Forest Wayne Shira, FNP-C 1863 Ne Freemont Ave, Roseburg, OR 97470-3535 Ph: (541) 733-2230	Forest Wayne Shira, FNP-C 1863 Ne Freemont Ave, Roseburg, OR 97470-3535 Ph: (541) 733-2230

Reviews and Comments

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Forest Wayne Shira, FNP-C - Medicare Nurse Practitioner in Roseburg, OR