Mr Scott Alan Shirley, APRN in Fleming Island, FL

Mr Scott Alan Shirley, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Fleming Island, Florida. His current practice location is 2349 Village Square Pkwy Ste 112, Fleming Island, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 886-9686.

Mr Scott Alan Shirley is licensed to practice in Florida (license number APRN11021337) 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 1104554526.

Contact Information

	Mr Scott Alan Shirley, APRN
	2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003-4319
	(904) 886-9686
	(904) 253-6964

Map and Direction

Provider's Profile

Full Name	Mr Scott Alan Shirley
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	2349 Village Square Pkwy Ste 112, Fleming Island, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104554526
Provider Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 8820472194
Enrollment ID: I20220906001272

Medical Identifiers

Medical identifiers for Mr Scott Alan Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104554526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN11021337 (Florida)	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 Scott Alan Shirley allows following entities to bill medicare on his behalf.

Entity Name	Respiratory Critical Care And Sleep Medicine Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386622629 PECOS PAC ID: 3971602970 Enrollment ID: O20070615000138

Entity Name	Jacksonville Lung Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861991937 PECOS PAC ID: 4486900412 Enrollment ID: O20180705002822

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 Scott Alan Shirley 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 Scott Alan Shirley, APRN 10922 Scott Mill Rd, Jacksonville, FL 32223-6512 Ph: (904) 508-7049	Mr Scott Alan Shirley, APRN 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003-4319 Ph: (904) 886-9686

Reviews and Comments

Nurse Practitioner Nurses in Fleming Island, FL

Mr. Jeffrey Ludan Vongjesda, MS, ARNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003 Phone: 904-269-4559 Fax: 904-269-4597
Dian S Trent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003 Phone: 904-264-1204 Fax: 904-264-1227
Mrs. Kimberly Simon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003 Phone: 904-516-1880 Fax: 904-516-1885
Vanessa Brown, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1766 Long Slough Walk, Fleming Island, FL 32003 Phone: 904-400-4315
Brenda Garcia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Marsh Hawk Ln Unit 101, Fleming Island, FL 32003 Phone: 786-426-7972
Saphina Williams, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003 Phone: 904-269-6526 Fax: 904-269-6527

Mr Scott Alan Shirley, APRN - Medicare Nurse Practitioner in Fleming Island, FL