Katrina Ann Shires, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Peterstown, West Virginia. Her current practice location is
591 Us Highway 219, Peterstown, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 753-4336.
Katrina Ann Shires is licensed to practice in West Virginia (license number 71558) 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 1154763282.
Provider's Profile
| Full Name | Katrina Ann Shires |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 591 Us Highway 219, Peterstown, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154763282
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 07/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 0345477279
- Enrollment ID: I20131220000290
Medical Identifiers
Medical identifiers for Katrina Ann Shires such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154763282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71558 (West Virginia) | 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. Katrina Ann Shires allows following entities to bill medicare on her behalf.
| Entity Name | Monroe County Health Center Board Of Trustees |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1992734487
PECOS PAC ID: 3173432671
Enrollment ID: O20040330001675 |
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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. Katrina Ann Shires 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 |
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Katrina Ann Shires, NP-C
Po Box 590,
Union, WV 24983-0590
Ph: (304) 772-3065 | Katrina Ann Shires, NP-C
591 Us Highway 219,
Peterstown, WV 24963
Ph: (304) 753-4336 |
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