Jessica Shattuck, APRN-CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in Berea, Ohio. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice University Hospitals Medical Group Inc and her current practice location is
108 Slippery Rock Ln, Berea, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 610-3710.
Jessica Shattuck is licensed to practice in Ohio (license number 0019465) 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 1003425281.
Provider's Profile
| Full Name | Jessica Shattuck |
|---|
| Gender | Female |
|---|
| Speciality | Certified Nurse Midwife (cnm) |
|---|
| Experience | 4 Years |
|---|
| Location | 108 Slippery Rock Ln, Berea, Ohio |
|---|
| 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:
- Jessica Shattuck graduated from nursing school in 2020
NPI Data:
- NPI Number: 1003425281
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709291008
- Enrollment ID: I20210218002887
Medical Identifiers
Medical identifiers for Jessica Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003425281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 0027135 (Ohio) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0019465 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Hospitals Medical Group Inc | 4789682493 | 1542 |
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. Jessica Shattuck allows following entities to bill medicare on her behalf.
| Entity Name | University Hospitals Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
|---|
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. Jessica 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 |
|---|
Jessica Shattuck, APRN-CNM, WHNP-BC
108 Slippery Rock Ln,
Berea, OH 44017-3155
Ph: (440) 610-3710 | Jessica Shattuck, APRN-CNM, WHNP-BC
108 Slippery Rock Ln,
Berea, OH 44017-3155
Ph: (440) 610-3710 |
Reviews and Comments