Laree Shively, APRN in Campbellsville, KY - Medicare Nurse Practitioner

Laree Shively, APRN is a medicare enrolled "Nurse Practitioner - Family" in Campbellsville, Kentucky. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Taylor Regional Medical Group,llc and her current practice location is 73 Kingswood Dr, Campbellsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 849-2379.

Laree Shively is licensed to practice in Kentucky (license number 3015305) 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 1487261228.

Contact Information

	Laree Shively, APRN
	73 Kingswood Dr, Campbellsville, KY 42718-9604
	(270) 849-2379
	Not Available

Map and Direction

Provider's Profile

Full Name	Laree Shively
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	73 Kingswood Dr, Campbellsville, Kentucky
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:

Laree Shively graduated from nursing school in 2020

NPI Data:

NPI Number: 1487261228
Provider Enumeration Date: 09/25/2020
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 4981015278
Enrollment ID: I20201117001610

Medical Identifiers

Medical identifiers for Laree Shively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487261228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3015305 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Taylor Regional Hospital	Campbellsville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Taylor Regional Medical Group,llc	4880616622	47

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. Laree Shively allows following entities to bill medicare on her behalf.

Entity Name	Taylor Regional Medical Group,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527

Entity Name	Taylor Regional Medical Group,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699030031 PECOS PAC ID: 4880616622 Enrollment ID: O20120827000184

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. Laree Shively 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
Laree Shively, APRN 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 Ph: (270) 465-3561	Laree Shively, APRN 73 Kingswood Dr, Campbellsville, KY 42718-9604 Ph: (270) 849-2379

Reviews and Comments

Nurse Practitioner Nurses in Campbellsville, KY

Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463
Samantha Shipp, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-5794
Mr. Joshua Ryan King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 Fax: 270-789-0097
Dorothy Marie Dudley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-2788 Fax: 502-368-9820
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756
Rachel Stephens, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 E Main St, Campbellsville, KY 42718 Phone: 270-403-5275

Laree Shively, APRN - Medicare Nurse Practitioner in Campbellsville, KY