Mrs Shannon Leigh Mims, in Fort Myers, FL - Medicare Nurse Practitioner

Mrs Shannon Leigh Mims, is a medicare enrolled "Nurse Practitioner" in Fort Myers, Florida. Her current practice location is 12670 Whitehall Dr, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 936-3554.

Mrs Shannon Leigh Mims is licensed to practice in Florida (license number ARNP9363950) 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 1457828899.

Contact Information

	Mrs Shannon Leigh Mims,
	12670 Whitehall Dr, Fort Myers, FL 33907-3619
	(239) 936-3554
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Leigh Mims
Gender	Female
Speciality	Nurse Practitioner
Location	12670 Whitehall Dr, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457828899
Provider Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018

Medicare PECOS Information:

PECOS PAC ID: 5698019396
Enrollment ID: I20181206002825

Medical Identifiers

Medical identifiers for Mrs Shannon Leigh Mims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457828899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9363950 (Florida)	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 Leigh Mims allows following entities to bill medicare on her behalf.

Entity Name	Florida Neurology Group P L
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962497669 PECOS PAC ID: 0840286407 Enrollment ID: O20050720000536

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 Leigh Mims 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 Leigh Mims, 19581 Lanshell Drive, North Fort Myers, FL 33917 Ph: (703) 582-5630	Mrs Shannon Leigh Mims, 12670 Whitehall Dr, Fort Myers, FL 33907-3619 Ph: (239) 936-3554

Reviews and Comments

Nurse Practitioner Nurses in Fort Myers, FL

Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9341 Via San Giovani St, Fort Myers, FL 33905 Phone: 249-297-4864
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700
Ms. Susan Ann Sherman, MS, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3900 Broadway, Suite B-1, Fort Myers, FL 33901 Phone: 239-939-2808 Fax: 239-939-4794

Mrs Shannon Leigh Mims, - Medicare Nurse Practitioner in Fort Myers, FL