Mrs Shanquail Darnysse Horton, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Moundville, Alabama. Her current practice location is
11889 Glen Ridge Blvd, Moundville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 561-7724.
Mrs Shanquail Darnysse Horton is licensed to practice in Alabama (license number 2013015363) 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 1861815425.
Provider's Profile
Full Name | Mrs Shanquail Darnysse Horton |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 11889 Glen Ridge Blvd, Moundville, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861815425
- Provider Enumeration Date: 01/31/2014
- Last Update Date: 09/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 5395969620
- Enrollment ID: I20140606001092
Medical Identifiers
Medical identifiers for Mrs Shanquail Darnysse Horton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861815425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 1-127996 (Alabama) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 2013015363 (Alabama) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 2013015363 (Alabama) | 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 Shanquail Darnysse Horton allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
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Entity Name | Remedy Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013517317 PECOS PAC ID: 3375958853 Enrollment ID: O20210318001511 |
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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 Shanquail Darnysse Horton 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 Shanquail Darnysse Horton, CRNP 11889 Glen Ridge Blvd, Moundville, AL 35474-6368 Ph: (205) 561-7724 | Mrs Shanquail Darnysse Horton, CRNP 11889 Glen Ridge Blvd, Moundville, AL 35474-6368 Ph: (205) 561-7724 |
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