Misti Dawn Shine, NP-BC is a medicare enrolled "Nurse Practitioner - Family" in Saint George, West Virginia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St George Medical Clinic Inc and her current practice location is
8591 Holly Meadows Rd, Saint George, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 478-3339.
Misti Dawn Shine is licensed to practice in West Virginia (license number APRN57107-NP-C) 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 1134687114.
Provider's Profile
| Full Name | Misti Dawn Shine |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 8591 Holly Meadows Rd, Saint George, West Virginia |
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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:
- Misti Dawn Shine graduated from nursing school in 2018
NPI Data:
- NPI Number: 1134687114
- Provider Enumeration Date: 03/08/2019
- Last Update Date: 03/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214364249
- Enrollment ID: I20200303001992
Medical Identifiers
Medical identifiers for Misti Dawn Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134687114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN57107-NP-C (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St George Medical Clinic Inc | 7911996244 | 12 |
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. Misti Dawn Shine allows following entities to bill medicare on her behalf.
| Entity Name | St George Medical Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497853600
PECOS PAC ID: 7911996244
Enrollment ID: O20040511000664 |
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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. Misti Dawn Shine 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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Misti Dawn Shine, NP-BC
8591 Holly Meadows Rd,
Saint George, WV 26287-8604
Ph: (304) 478-3339 | Misti Dawn Shine, NP-BC
8591 Holly Meadows Rd,
Saint George, WV 26287-8604
Ph: (304) 478-3339 |
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