Mrs Shelby Nicole Scullen, NP in Watertown, NY

Mrs Shelby Nicole Scullen, NP is a medicare enrolled "Nurse Practitioner - Family" in Watertown, New York. Her current practice location is 22567 Summit Dr Bldg Ii, Watertown, New York. You can reach out to her office (for appointments etc.) via phone at (315) 782-7230.

Mrs Shelby Nicole Scullen is licensed to practice in New York (license number 352028) 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 1194508952.

Contact Information

	Mrs Shelby Nicole Scullen, NP
	22567 Summit Dr Bldg Ii, Watertown, NY 13601-7210
	(315) 782-7230
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shelby Nicole Scullen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	22567 Summit Dr Bldg Ii, Watertown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194508952
Provider Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0446607303
Enrollment ID: I20231114002993

Medical Identifiers

Medical identifiers for Mrs Shelby Nicole Scullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194508952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	352028 (New York)	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 Shelby Nicole Scullen allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525

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 Shelby Nicole Scullen 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 Shelby Nicole Scullen, NP 119 Hinman Rd, Pulaski, NY 13142-2321 Ph: () -	Mrs Shelby Nicole Scullen, NP 22567 Summit Dr Bldg Ii, Watertown, NY 13601-7210 Ph: (315) 782-7230

Reviews and Comments

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Mrs Shelby Nicole Scullen, NP - Medicare Nurse Practitioner in Watertown, NY