Mrs Shannon Etheridge Whitten, MS,NP-C, APRN,BC, in Sandersville, GA

Mrs Shannon Etheridge Whitten, MS,NP-C, APRN,BC, is a medicare enrolled "Nurse Practitioner - Family" in Sandersville, Georgia. Her current practice location is 616 Ferncrest Dr, Sandersville, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 864-3448.

Mrs Shannon Etheridge Whitten is licensed to practice in Georgia (license number R117082) 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 1508045840.

Contact Information

	Mrs Shannon Etheridge Whitten, MS,NP-C, APRN,BC,
	616 Ferncrest Dr, Sandersville, GA 31082-1863
	(478) 864-3448
	(478) 864-1288

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Etheridge Whitten
Gender	Female
Speciality	Nurse Practitioner - Family
Location	616 Ferncrest Dr, Sandersville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508045840
Provider Enumeration Date: 11/02/2007
Last Update Date: 12/01/2010

Medicare PECOS Information:

PECOS PAC ID: 2264515493
Enrollment ID: I20110121000528

Medical Identifiers

Medical identifiers for Mrs Shannon Etheridge Whitten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508045840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R117082 (Georgia)	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 Shannon Etheridge Whitten allows following entities to bill medicare on her behalf.

Entity Name	Community Health Care Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932150422 PECOS PAC ID: 5890783179 Enrollment ID: O20040505000153

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 Shannon Etheridge Whitten 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 Shannon Etheridge Whitten, MS,NP-C, APRN,BC, 616 Ferncrest Dr, Sandersville, GA 31082-1863 Ph: (478) 864-3448	Mrs Shannon Etheridge Whitten, MS,NP-C, APRN,BC, 616 Ferncrest Dr, Sandersville, GA 31082-1863 Ph: (478) 864-3448

Reviews and Comments

Nurse Practitioner Nurses in Sandersville, GA

Mrs. Patti Lorri Marat, RN MSN APRN NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 W 2nd Ave, Sandersville, GA 31082 Phone: 478-412-2105 Fax: 706-432-1620
Nora Marie Hall, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 616 Ferncrest Dr, Sandersville, GA 31082 Phone: 478-864-3448 Fax: 478-864-1288
Erin Ashley Wilkes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Sparta Rd Ste F, Sandersville, GA 31082 Phone: 478-552-0001 Fax: 478-552-0048
Mrs. Gina Nicole Mcclarin, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Ferncrest Dr, Suite A, Sandersville, GA 31082 Phone: 478-552-0006 Fax: 478-552-0010
Dr. Brooke Hinton Cobb, DNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Ferncrest Dr Ste A, Sandersville, GA 31082 Phone: 478-552-0006
Mrs. Shalu R Taylor, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 616 Ferncrest Dr, Sandersville, GA 31082 Phone: 478-553-1620 Fax: 478-864-1288

Mrs Shannon Etheridge Whitten, MS,NP-C, APRN,BC, - Medicare Nurse Practitioner in Sandersville, GA