Mr Zachary Blake Fussell, MSN, APRN, PMHNP-BC in Shreveport, LA

Mr Zachary Blake Fussell, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Shreveport, Louisiana. His current practice location is 1220 Pierremont Rd Ste B, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 629-5036.

Mr Zachary Blake Fussell is licensed to practice in Louisiana (license number 202773) 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 1861114407.

Contact Information

	Mr Zachary Blake Fussell, MSN, APRN, PMHNP-BC
	1220 Pierremont Rd Ste B, Shreveport, LA 71106-1943
	(318) 629-5036
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Zachary Blake Fussell
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1220 Pierremont Rd Ste B, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861114407
Provider Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0648645812
Enrollment ID: I20230401000058

Medical Identifiers

Medical identifiers for Mr Zachary Blake Fussell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861114407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202773 (Louisiana)	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 Zachary Blake Fussell allows following entities to bill medicare on his behalf.

Entity Name	Brentwood Acquisition-shreveport Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164725701 PECOS PAC ID: 1951379312 Enrollment ID: O20040923000015

Entity Name	Curana Health Of Louisiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538399704 PECOS PAC ID: 4880731355 Enrollment ID: O20091103000048

Entity Name	Ch Mssp Services La Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982285060 PECOS PAC ID: 6901206416 Enrollment ID: O20210621000338

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 Zachary Blake Fussell 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 Zachary Blake Fussell, MSN, APRN, PMHNP-BC 6134 Lovers Ln, Shreveport, LA 71105-4830 Ph: (318) 840-2616	Mr Zachary Blake Fussell, MSN, APRN, PMHNP-BC 1220 Pierremont Rd Ste B, Shreveport, LA 71106-1943 Ph: (318) 629-5036

Reviews and Comments

Nurse Practitioner Nurses in Shreveport, LA

Lasonya Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7840 Jewella Ave, Shreveport, LA 71108 Phone: 318-401-1432 Fax: 318-562-3889
James E Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556
Tamara J Trainer, RN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101 Phone: 318-676-7470
Ms. Shannon Renee Gully, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Alana O Bragg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-5379 Fax: 318-675-4671
Pamela B. Simmons, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Olive St, Shreveport, LA 71104 Phone: 318-470-6194
Barbara Lynn Bruner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Mr Zachary Blake Fussell, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Shreveport, LA