Kellie L Shuck, PMHNP-CNS, BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Patten, Maine. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Katahdin Valley Health Center and her current practice location is
30 Houlton St, Patten, Maine. You can reach out to her office (for appointments etc.) via phone at
(866) 366-5842.
Kellie L Shuck is licensed to practice in Maine (license number CNP211623) 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 1598720534.
Provider's Profile
| Full Name | Kellie L Shuck |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 30 Houlton St, Patten, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kellie L Shuck graduated from nursing school in 2004
NPI Data:
- NPI Number: 1598720534
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 02/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901906197
- Enrollment ID: I20220202002184
Medical Identifiers
Medical identifiers for Kellie L Shuck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598720534 | NPI | - | NPPES |
| 427531801 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 2000161947 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP211623 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Katahdin Valley Health Center | 4880659903 | 33 |
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. Kellie L Shuck allows following entities to bill medicare on her behalf.
| Entity Name | Katahdin Valley Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376618546
PECOS PAC ID: 4880659903
Enrollment ID: O20041130000688 |
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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. Kellie L Shuck 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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Kellie L Shuck, PMHNP-CNS, BC
114 W 7th St Ste 900,
Austin, TX 78701-3013
Ph: (888) 285-2269 | Kellie L Shuck, PMHNP-CNS, BC
30 Houlton St,
Patten, ME 04765-3035
Ph: (866) 366-5842 |
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