Mr Shawn R Agenbroad-elander, FNP-C in Austin, TX

Mr Shawn R Agenbroad-elander, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Austin, Texas. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Privia Medical Group Gulf Coast Pllc and his current practice location is 4303 Victory Dr, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 462-3627.

Mr Shawn R Agenbroad-elander is licensed to practice in Texas (license number AP118041) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164655171.

Contact Information

	Mr Shawn R Agenbroad-elander, FNP-C
	4303 Victory Dr, Austin, TX 78704-7507
	(512) 462-3627
	(512) 462-2898

Map and Direction

Provider's Profile

Full Name	Mr Shawn R Agenbroad-elander
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	4303 Victory Dr, Austin, Texas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Shawn R Agenbroad-elander graduated from nursing school in 2009

NPI Data:

NPI Number: 1164655171
Provider Enumeration Date: 08/25/2009
Last Update Date: 01/10/2018

Medicare PECOS Information:

PECOS PAC ID: 8628107992
Enrollment ID: I20100525000369

Medical Identifiers

Medical identifiers for Mr Shawn R Agenbroad-elander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164655171	NPI	-	NPPES
AP118041	Other	TX	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP118041 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Medical Group Gulf Coast Pllc	4688999022	397

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 R Agenbroad-elander allows following entities to bill medicare on his behalf.

Entity Name	Privia Medical Group Gulf Coast Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763

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 R Agenbroad-elander 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 R Agenbroad-elander, FNP-C 4303 Victory Dr, Austin, TX 78704-7507 Ph: (512) 462-3627	Mr Shawn R Agenbroad-elander, FNP-C 4303 Victory Dr, Austin, TX 78704-7507 Ph: (512) 462-3627

Reviews and Comments

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Valerie Maclaurin, APRN, CPNP-AC/PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5339 N Ih 35 Ste 100, Austin, TX 78723 Phone: 512-628-1898 Fax: 512-600-1849
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Kendall Faith Kayworth, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8402 Cross Park Dr, Austin, TX 78754 Phone: 512-549-8021
Ms. Amber Leigh Peoples, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 W 34th St Ste 400, Austin, TX 78705 Phone: 512-459-6599 Fax: 512-459-8496

Mr Shawn R Agenbroad-elander, FNP-C - Medicare Nurse Practitioner in Austin, TX