Mr Lucas Tyler Shammo, FNP-C - Medicare Nurse Practitioner in Fremont, OH

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Mr Lucas Tyler Shammo, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Fremont, Ohio. His current practice location is 2221 Hayes Ave, Fremont, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 334-3869.

Mr Lucas Tyler Shammo is licensed to practice in Ohio (license number APRN.CNP.0031455) 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 1518606854.

Contact Information

Mr Lucas Tyler Shammo, FNP-C
2221 Hayes Ave,
Fremont, OH 43420-2632
(419) 334-3869
Not Available

Map and Direction




Provider's Profile

Full NameMr Lucas Tyler Shammo
GenderMale
SpecialityNurse Practitioner - Primary Care
Location2221 Hayes Ave, Fremont, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518606854
  • Provider Enumeration Date: 06/03/2022
  • Last Update Date: 06/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880073550
  • Enrollment ID: I20220627002179

Medical Identifiers

Medical identifiers for Mr Lucas Tyler Shammo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518606854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care APRN.CNP.0031455 (Ohio)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 Lucas Tyler Shammo allows following entities to bill medicare on his behalf.
Entity NameCommunity And Rural Health Services
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1780683573
PECOS PAC ID: 5395733224
Enrollment ID: O20040430001263

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 Lucas Tyler Shammo 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 AddressPractice Location Address
Mr Lucas Tyler Shammo, FNP-C
211 Kimberly Ln,
Clyde, OH 43410-1892

Ph: (419) 307-0015		Mr Lucas Tyler Shammo, FNP-C
2221 Hayes Ave,
Fremont, OH 43420-2632

Ph: (419) 334-3869

Reviews and Comments


Nurse Practitioner Nurses in Fremont, OH

Elizabeth A. Gabel, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1479 N River Rd, Fremont, OH 43420
Phone: 419-355-9440    Fax: 419-355-9443
Amy Jo Mitchell, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2221 Hayes Ave, Fremont, OH 43420
Phone: 419-334-3869    
Briana Lynn Rauch, FNP, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 715 S Taft Ave, Fremont, OH 43420
Phone: 419-332-7321    
Robin Kathleen Rosipko,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1479 N River Rd, Fremont, OH 43420
Phone: 419-355-9440    Fax: 419-355-9443
Trisha D Hamm, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420
Phone: 419-355-8343    Fax: 419-355-8617
Jessica Ann Carroll, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2281 Hayes Ave, Fremont, OH 43420
Phone: 419-355-8488    
Ms. Kelly Jean Buckles, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1479 N River Rd, Fremont, OH 43420
Phone: 419-355-9440    Fax: 419-626-9443

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.