Mrs Shannon Slocumb Ethridge, FNP-C in Macon, GA

Mrs Shannon Slocumb Ethridge, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Macon, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vineville Internal Medicine Llc and her current practice location is 3448 Vineville Ave Bldg B, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 405-0045.

Mrs Shannon Slocumb Ethridge is licensed to practice in Georgia (license number RN198355) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033527254.

Contact Information

	Mrs Shannon Slocumb Ethridge, FNP-C
	3448 Vineville Ave Bldg B, Macon, GA 31204-1867
	(478) 405-0045
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Slocumb Ethridge
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3448 Vineville Ave Bldg B, Macon, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shannon Slocumb Ethridge graduated from nursing school in 2014

NPI Data:

NPI Number: 1033527254
Provider Enumeration Date: 07/31/2014
Last Update Date: 12/07/2021

Medicare PECOS Information:

PECOS PAC ID: 9739308735
Enrollment ID: I20140923001927

Medical Identifiers

Medical identifiers for Mrs Shannon Slocumb Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033527254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN198355 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical Center, Navicent Health (the)	Macon, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vineville Internal Medicine Llc	0941281711	12

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 Slocumb Ethridge allows following entities to bill medicare on her behalf.

Entity Name	Vineville Internal Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396955431 PECOS PAC ID: 0941281711 Enrollment ID: O20060223000410

Entity Name	Cynthia L Giles Do Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801159777 PECOS PAC ID: 9133379720 Enrollment ID: O20121016000643

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 Slocumb Ethridge 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 Slocumb Ethridge, FNP-C 3448 Vineville Ave Bldg B, Macon, GA 31204-1867 Ph: () -	Mrs Shannon Slocumb Ethridge, FNP-C 3448 Vineville Ave Bldg B, Macon, GA 31204-1867 Ph: (478) 405-0045

Reviews and Comments

Nurse Practitioner Nurses in Macon, GA

Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3888 Northside Dr, Macon, GA 31210 Phone: 478-477-4044 Fax: 478-477-7076
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092
Ms. Mirela Danaj, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201 Phone: 478-633-7550

Mrs Shannon Slocumb Ethridge, FNP-C - Medicare Nurse Practitioner in Macon, GA