Mrs Donna Shilane Outlaw-thomas, APRN-PMHNP in Greenville, SC

Mrs Donna Shilane Outlaw-thomas, APRN-PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Greenville, South Carolina. Her current practice location is 41 Park Creek Dr, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 600-7106.

Mrs Donna Shilane Outlaw-thomas is licensed to practice in South Carolina (license number 24101) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093347973.

Contact Information

	Mrs Donna Shilane Outlaw-thomas, APRN-PMHNP
	41 Park Creek Dr, Greenville, SC 29605-4270
	(803) 600-7106
	(803) 610-4197

Map and Direction

Provider's Profile

Full Name	Mrs Donna Shilane Outlaw-thomas
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	41 Park Creek Dr, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093347973
Provider Enumeration Date: 02/07/2020
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6901295989
Enrollment ID: I20211112000662

Medical Identifiers

Medical identifiers for Mrs Donna Shilane Outlaw-thomas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093347973	NPI	-	NPPES
SCL527	Medicaid	SC
SCL572	Medicaid	SC
RCO171	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WA2000X	Registered Nurse - Administrator	100313 (South Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	363LP0808X (South Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	24101 (South 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. Mrs Donna Shilane Outlaw-thomas allows following entities to bill medicare on her behalf.

Entity Name	A Practitioners Touch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902375900 PECOS PAC ID: 3072859958 Enrollment ID: O20190114002956

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. Mrs Donna Shilane Outlaw-thomas 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
Mrs Donna Shilane Outlaw-thomas, APRN-PMHNP Po Box 405, Santee, SC 29142-0405 Ph: (803) 600-7106	Mrs Donna Shilane Outlaw-thomas, APRN-PMHNP 41 Park Creek Dr, Greenville, SC 29605-4270 Ph: (803) 600-7106

Reviews and Comments

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Mrs Donna Shilane Outlaw-thomas, APRN-PMHNP - Medicare Nurse Practitioner in Greenville, SC