Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP in Boiling Springs, SC

Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Boiling Springs, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Itrust Wellness Group, Prisma Health University Medical Group and her current practice location is 2400 Boiling Springs Rd, Boiling Springs, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 599-0731.

Mrs Shatarra Tavonia Salley is licensed to practice in South Carolina (license number 24906) 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 1639795859.

Contact Information

	Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP
	2400 Boiling Springs Rd, Boiling Springs, SC 29316-5304
	(864) 599-0731
	(864) 599-0791

Map and Direction

Provider's Profile

Full Name	Mrs Shatarra Tavonia Salley
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2400 Boiling Springs Rd, Boiling Springs, South Carolina
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 Shatarra Tavonia Salley attended and graduated from University Of South Carolina School Of Medicine in 2020

NPI Data:

NPI Number: 1639795859
Provider Enumeration Date: 06/23/2020
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8921485467
Enrollment ID: I20220523000080

Medical Identifiers

Medical identifiers for Mrs Shatarra Tavonia Salley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639795859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	24906 (South Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	24906 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Greenville Memorial Hospital	Greenville, SC	Hospital
Spartanburg Medical Center	Spartanburg, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Itrust Wellness Group	0648532028	22
Prisma Health University Medical Group	8325950983	2206

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 Shatarra Tavonia Salley allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Itrust Wellness Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629517222 PECOS PAC ID: 0648532028 Enrollment ID: O20180322002663

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 Shatarra Tavonia Salley 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 Shatarra Tavonia Salley, APRN, FNP-C, PMHNP 121 Commons Way, Greenville, SC 29611-3850 Ph: (864) 520-2020	Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP 2400 Boiling Springs Rd, Boiling Springs, SC 29316-5304 Ph: (864) 599-0731

Reviews and Comments

Nurse Practitioner Nurses in Boiling Springs, SC

Blair Gault, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 866-389-2727
Mrs. Constance Audrianna Mudda, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0731 Fax: 864-599-0791
Rebecca Joy Brown, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Village Creek Dr, Boiling Springs, SC 29316 Phone: 864-327-9003 Fax: 800-253-0649
Virginia Lee Ivey-mingione, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Parris Bridge Road, Boiling Springs, SC 29316 Phone: 864-599-1998
Jennifer Nicole Gahan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0920
Felisha Booker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 Turning Leaf Cir, Boiling Springs, SC 29316 Phone: 864-814-8660
Emily Lane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 866-389-2727

Mrs Shatarra Tavonia Salley, APRN, FNP-C, PMHNP - Medicare Nurse Practitioner in Boiling Springs, SC