Mr Samuel Chase Shoptaw I, APRN, FNP-C in Louisville, KY

Mr Samuel Chase Shoptaw I, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. His current practice location is 3900 Kresge Way Ste 51, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 899-3623.

Mr Samuel Chase Shoptaw I is licensed to practice in Kentucky (license number 3018689) 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 1245949239.

Contact Information

	Mr Samuel Chase Shoptaw I, APRN, FNP-C
	3900 Kresge Way Ste 51, Louisville, KY 40207-4683
	(502) 899-3623
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Chase Shoptaw I
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3900 Kresge Way Ste 51, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245949239
Provider Enumeration Date: 11/17/2022
Last Update Date: 11/17/2022

Medicare PECOS Information:

PECOS PAC ID: 1759752561
Enrollment ID: I20230113000853

Medical Identifiers

Medical identifiers for Mr Samuel Chase Shoptaw I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245949239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3018689 (Kentucky)	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 Samuel Chase Shoptaw I allows following entities to bill medicare on his behalf.

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503

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 Samuel Chase Shoptaw I 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 Samuel Chase Shoptaw I, APRN, FNP-C 409 Captain Frank Rd, New Albany, IN 47150-5047 Ph: (502) 435-9542	Mr Samuel Chase Shoptaw I, APRN, FNP-C 3900 Kresge Way Ste 51, Louisville, KY 40207-4683 Ph: (502) 899-3623

Reviews and Comments

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Mr Samuel Chase Shoptaw I, APRN, FNP-C - Medicare Nurse Practitioner in Louisville, KY