Jennifer Anne Shattuck, NP in Johnson City, NY

Jennifer Anne Shattuck, NP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, New York. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and her current practice location is 260 Riverside Dr, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 798-7811.

Jennifer Anne Shattuck is licensed to practice in New York (license number 334772) 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 1023032729.

Contact Information

	Jennifer Anne Shattuck, NP
	260 Riverside Dr, Johnson City, NY 13790-2745
	(607) 798-7811
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Anne Shattuck
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	260 Riverside Dr, Johnson City, New York
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:

Jennifer Anne Shattuck graduated from nursing school in 2005

NPI Data:

NPI Number: 1023032729
Provider Enumeration Date: 07/26/2006
Last Update Date: 03/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1254342223
Enrollment ID: I20060505000793

Medical Identifiers

Medical identifiers for Jennifer Anne Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023032729	NPI	-	NPPES
02742863	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	334772 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lourdes Hospital	Binghamton, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of Lourdes Memorial Hospital Inc	1254237779	223

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. Jennifer Anne Shattuck allows following entities to bill medicare on her behalf.

Entity Name	Our Lady Of Lourdes Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366

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. Jennifer Anne Shattuck 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
Jennifer Anne Shattuck, NP 260 Riverside Dr, Johnson City, NY 13790-2745 Ph: (607) 798-7811	Jennifer Anne Shattuck, NP 260 Riverside Dr, Johnson City, NY 13790-2745 Ph: (607) 798-7811

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, NY

Ashley N Hammond, MS, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064
Rachel Marie Skovira, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790 Phone: 607-763-6580 Fax: 607-763-6782
Victoria Elizabeth Mcmanus, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Harry L Dr Ste 110, Johnson City, NY 13790 Phone: 607-729-5805 Fax: 607-729-7714
Kaylyn Malenda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064
Alissa Giammarino, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Harrison St, Johnson City, NY 13790 Phone: 607-729-4942 Fax: 607-729-7516
Mrs. Linda Lafontaine Peterson, PRIMARY CARE NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 286 Dego Hill Road, United Methodist Homes Hilltop Campus, Johnson City, NY 13790 Phone: 607-798-7818 Fax: 607-798-9382

Jennifer Anne Shattuck, NP - Medicare Nurse Practitioner in Johnson City, NY