Mr Shawn Lewis Fountain Jr, FNP-C in Charlotte, NC

Mr Shawn Lewis Fountain Jr, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. His current practice location is 1614 South Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 338-1268.

Mr Shawn Lewis Fountain Jr is licensed to practice in North Carolina (license number 5018771) 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 1033995998.

Contact Information

	Mr Shawn Lewis Fountain Jr, FNP-C
	1614 South Blvd, Charlotte, NC 28203-4726
	(704) 338-1268
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Shawn Lewis Fountain Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1614 South Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033995998
Provider Enumeration Date: 09/06/2023
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7517313059
Enrollment ID: I20231019002742

Medical Identifiers

Medical identifiers for Mr Shawn Lewis Fountain Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033995998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5018771 (North Carolina)	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 Shawn Lewis Fountain Jr allows following entities to bill medicare on his behalf.

Entity Name	American Current Care Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306015102 PECOS PAC ID: 8426196098 Enrollment ID: O20091119000309

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 Shawn Lewis Fountain Jr 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 Shawn Lewis Fountain Jr, FNP-C 1614 South Blvd, Charlotte, NC 28203-4726 Ph: (704) 338-1268	Mr Shawn Lewis Fountain Jr, FNP-C 1614 South Blvd, Charlotte, NC 28203-4726 Ph: (704) 338-1268

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
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Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Mr Shawn Lewis Fountain Jr, FNP-C - Medicare Nurse Practitioner in Charlotte, NC