Ian Shaver, in Clinton, SC - Medicare Nurse Practitioner

Ian Shaver, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clinton, South Carolina. His current practice location is 939 Springdale Dr, Clinton, South Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 742-9243.

Ian Shaver is licensed to practice in South Carolina (license number 27278) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356041065.

Contact Information

	Ian Shaver,
	939 Springdale Dr, Clinton, SC 29325-7266
	(910) 742-9243
	(888) 746-1787

Map and Direction

Provider's Profile

Full Name	Ian Shaver
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	939 Springdale Dr, Clinton, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356041065
Provider Enumeration Date: 03/09/2023
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3072970433
Enrollment ID: I20230531001954

Medical Identifiers

Medical identifiers for Ian Shaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356041065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	321428 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	27278 (South Carolina)	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. Ian Shaver allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901

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. Ian Shaver 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
Ian Shaver, 1086 Secessionville Rd, Charleston, SC 29412-9744 Ph: () -	Ian Shaver, 939 Springdale Dr, Clinton, SC 29325-7266 Ph: (910) 742-9243

Reviews and Comments

Nurse Practitioner Nurses in Clinton, SC

Catherine M Kearon, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 939 Springdale Dr, Clinton, SC 29325 Phone: 910-742-9243
Kristal Smith Pitts, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1304 Springdale Dr, Clinton, SC 29325 Phone: 864-833-6287
Ms. Carol Jean Anderson, MSN, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 93 Human Services Rd, Clinton, SC 29325 Phone: 864-833-0000 Fax: 864-833-6400
Sara P Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 S Broad St, Clinton, SC 29325 Phone: 864-833-0973 Fax: 864-241-9290
Heidi Leigh Dressler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22725 Highway 76 E, Clinton, SC 29325 Phone: 864-833-9100 Fax: 864-833-9458
Miss Rachael Mae Steward, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22725 Us Highway 76, Clinton, SC 29325 Phone: 864-833-9100
Allie Turpin, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22725 Highway 76 E, Clinton, SC 29325 Phone: 864-833-9100 Fax: 864-833-9458

Ian Shaver, - Medicare Nurse Practitioner in Clinton, SC