Mr Michael Tyshune Shelton, RN, MSN in Richland, WA

Mr Michael Tyshune Shelton, RN, MSN is a medicare enrolled "Nurse Practitioner - Family" in Richland, Washington. His current practice location is 829 Goethals Dr, Richland, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 547-2204.

Mr Michael Tyshune Shelton is licensed to practice in Texas (license number F1009375 NP-C) 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 1124251103.

Contact Information

	Mr Michael Tyshune Shelton, RN, MSN
	829 Goethals Dr, Richland, WA 99352-3529
	(509) 547-2204
	(509) 542-8836

Map and Direction

Provider's Profile

Full Name	Mr Michael Tyshune Shelton
Gender	Male
Speciality	Nurse Practitioner - Family
Location	829 Goethals Dr, Richland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124251103
Provider Enumeration Date: 08/25/2009
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6002145034
Enrollment ID: I20240318000712

Medical Identifiers

Medical identifiers for Mr Michael Tyshune Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124251103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN 794786 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	F1009375 NP-C (Texas)	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 Michael Tyshune Shelton allows following entities to bill medicare on his behalf.

Entity Name	Tri-cities Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861698987 PECOS PAC ID: 4183517469 Enrollment ID: O20040203000209

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 Michael Tyshune Shelton 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 Michael Tyshune Shelton, RN, MSN 3750 Commercial Ave, San Antonio, TX 78221-3117 Ph: (210) 922-7000	Mr Michael Tyshune Shelton, RN, MSN 829 Goethals Dr, Richland, WA 99352-3529 Ph: (509) 547-2204

Reviews and Comments

Nurse Practitioner Nurses in Richland, WA

Tracy Candace W. Degenstein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Torbett St Ste 101, Richland, WA 99354 Phone: 509-427-1450 Fax: 509-427-1490
Kathryn S Brault, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Mansfield St Ste 4, Richland, WA 99352 Phone: 509-946-6124 Fax: 866-692-4493
Somrit Koy Tim, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Goethals Dr Ste E3, Richland, WA 99352 Phone: 509-942-2986 Fax: 509-942-3097
Ms. Anne Campbell Laucella, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2648
Ms. Jennifer Lee Barden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 George Washington Way, Richland, WA 99354 Phone: 888-227-3312 Fax: 509-622-2707
Christa Heidi Moore, ADN,BSN,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2630 Fax: 509-942-2007
Antonette Lynn Harvill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2887

Mr Michael Tyshune Shelton, RN, MSN - Medicare Nurse Practitioner in Richland, WA