Mr Jeremy Allen Shultz, CRNP in Boaz, AL - Medicare Nurse Practitioner

Mr Jeremy Allen Shultz, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Boaz, Alabama. His current practice location is 2505 Us Highway 431, Boaz, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 894-6800.

Mr Jeremy Allen Shultz is licensed to practice in Alabama (license number 1-135341) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902342983.

Contact Information

	Mr Jeremy Allen Shultz, CRNP
	2505 Us Highway 431, Boaz, AL 35957-5908
	(256) 894-6800
	(256) 894-6808

Map and Direction

Provider's Profile

Full Name	Mr Jeremy Allen Shultz
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	2505 Us Highway 431, Boaz, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902342983
Provider Enumeration Date: 01/13/2017
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8921433624
Enrollment ID: I20200126000007

Medical Identifiers

Medical identifiers for Mr Jeremy Allen Shultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902342983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-135341 (Alabama)	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. Mr Jeremy Allen Shultz allows following entities to bill medicare on his behalf.

Entity Name	Emergency Medical Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609960798 PECOS PAC ID: 8426025453 Enrollment ID: O20040910000476

Entity Name	App Of Alabama Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174

Entity Name	Crestwood Hb Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548940497 PECOS PAC ID: 2163876491 Enrollment ID: O20230920003115

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. Mr Jeremy Allen Shultz 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
Mr Jeremy Allen Shultz, CRNP Po Box 11407, Birmingham, AL 35246-8124 Ph: (256) 894-6635	Mr Jeremy Allen Shultz, CRNP 2505 Us Highway 431, Boaz, AL 35957-5908 Ph: (256) 894-6800

Reviews and Comments

Nurse Practitioner Nurses in Boaz, AL

Anna Ashley Allen, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-593-8310
Mrs. Kelsey Tucker Geer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-490-7893
Ethan Caleb Bonds, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181
Sangduan Barnes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181 Fax: 256-744-7272
Patrick Sellers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181 Fax: 256-744-7290
Ashley Nicole Colquitt, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2525 Us Highway 431, Suite 104, Boaz, AL 35957 Phone: 256-840-4653 Fax: 256-840-4665
Marla Benita Wehrwein, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2986 Us Highway 431, Boaz, AL 35957 Phone: 256-840-8181

Mr Jeremy Allen Shultz, CRNP - Medicare Nurse Practitioner in Boaz, AL