Mrs Farah Lynn Shaddix, MSN, RN, PMHNP-BC in O Fallon, MO

Mrs Farah Lynn Shaddix, MSN, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in O Fallon, Missouri. Her current practice location is 1103 Warm Winds Dr, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 294-0673.

Mrs Farah Lynn Shaddix is licensed to practice in Missouri (license number 2020019555) 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 1912524059.

Contact Information

	Mrs Farah Lynn Shaddix, MSN, RN, PMHNP-BC
	1103 Warm Winds Dr, O Fallon, MO 63366-6327
	(636) 294-0673
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Farah Lynn Shaddix
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1103 Warm Winds Dr, O Fallon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912524059
Provider Enumeration Date: 07/05/2020
Last Update Date: 07/05/2020

Medicare PECOS Information:

PECOS PAC ID: 2466827639
Enrollment ID: I20230401000063

Medical Identifiers

Medical identifiers for Mrs Farah Lynn Shaddix such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912524059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2020019555 (Missouri)	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 Farah Lynn Shaddix allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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 Farah Lynn Shaddix 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 Farah Lynn Shaddix, MSN, RN, PMHNP-BC 1103 Warm Winds Dr, O Fallon, MO 63366-6327 Ph: (636) 294-0673	Mrs Farah Lynn Shaddix, MSN, RN, PMHNP-BC 1103 Warm Winds Dr, O Fallon, MO 63366-6327 Ph: (636) 294-0673

Reviews and Comments

Nurse Practitioner Nurses in O Fallon, MO

Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610
Leah W Wangui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363
Gloria Michelle Paul Edacheril, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Phone: 636-344-2400 Fax: 636-344-2401

Mrs Farah Lynn Shaddix, MSN, RN, PMHNP-BC - Medicare Nurse Practitioner in O Fallon, MO