Kassie Crews Shoup, in Macclenny, FL - Medicare Nurse Practitioner

Kassie Crews Shoup, is a medicare enrolled "Nurse Practitioner - Family" in Macclenny, Florida. Her current practice location is 725 S 6th St, Macclenny, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 259-3150.

Kassie Crews Shoup is licensed to practice in Florida (license number APRN11001429) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578028478.

Contact Information

	Kassie Crews Shoup,
	725 S 6th St, Macclenny, FL 32063-9653
	(904) 259-3150
	Not Available

Map and Direction

Provider's Profile

Full Name	Kassie Crews Shoup
Gender	Female
Speciality	Nurse Practitioner - Family
Location	725 S 6th St, Macclenny, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578028478
Provider Enumeration Date: 02/05/2019
Last Update Date: 02/25/2019

Medicare PECOS Information:

PECOS PAC ID: 8325387913
Enrollment ID: I20190226001156

Medical Identifiers

Medical identifiers for Kassie Crews Shoup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578028478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11001429 (Florida)	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. Kassie Crews Shoup allows following entities to bill medicare on her behalf.

Entity Name	Baker County Medical Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104926401 PECOS PAC ID: 6103710264 Enrollment ID: O20040210000578

Entity Name	Baker Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396807319 PECOS PAC ID: 3779689807 Enrollment ID: O20070728000111

Entity Name	Baker County Medical Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578822508 PECOS PAC ID: 6103710264 Enrollment ID: O20120619000212

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. Kassie Crews Shoup 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
Kassie Crews Shoup, 11805 Huckleberry Trl E, Macclenny, FL 32063-1802 Ph: (904) 316-1254	Kassie Crews Shoup, 725 S 6th St, Macclenny, FL 32063-9653 Ph: (904) 259-3150

Reviews and Comments

Nurse Practitioner Nurses in Macclenny, FL

Marcheta Crews, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 904-259-3151
Mr. Dustin Williams, ARNP FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211
Miss Garri Renee Johns, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 S 6th St, Ufjax - Crossroads Family Medicine, Macclenny, FL 32063 Phone: 904-383-1780 Fax: 904-383-1776
Linda Louise Heilman, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 904-259-3151 Fax: 904-259-9147
Brandice Marie Reynoso, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 S 6th St, Macclenny, FL 32063 Phone: 904-383-1777 Fax: 904-383-1776
Dr. Kathleen Purcell Washburn, PHD, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 North 3rd Street, Macclenny, FL 32063 Phone: 904-653-4700 Fax: 904-653-4710
Merredith Oakes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7116

Kassie Crews Shoup, - Medicare Nurse Practitioner in Macclenny, FL