Ms Christine Holly Shantry, ACNP in Clinton Township, MI

Ms Christine Holly Shantry, ACNP is a medicare enrolled "Nurse Practitioner" in Clinton Township, Michigan. Her current practice location is 15855 19 Mile Rd, Emergency Dept, Clinton Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 263-2601.

Ms Christine Holly Shantry is licensed to practice in Michigan (license number 4704226543) 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 1295065951.

Contact Information

	Ms Christine Holly Shantry, ACNP
	15855 19 Mile Rd, Emergency Dept, Clinton Township, MI 48038-3504
	(586) 263-2601
	(586) 263-2589

Map and Direction

Provider's Profile

Full Name	Ms Christine Holly Shantry
Gender	Female
Speciality	Nurse Practitioner
Location	15855 19 Mile Rd, Clinton Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295065951
Provider Enumeration Date: 12/31/2009
Last Update Date: 07/24/2012

Medicare PECOS Information:

PECOS PAC ID: 1557406972
Enrollment ID: I20100309000722

Medical Identifiers

Medical identifiers for Ms Christine Holly Shantry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295065951	NPI	-	NPPES
12067480	Other	MI	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704226543 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704226543 (Michigan)	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. Ms Christine Holly Shantry allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Emergency Department Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466

Entity Name	Professional Emergency Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326235698 PECOS PAC ID: 3870493588 Enrollment ID: O20040504001470

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. Ms Christine Holly Shantry 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
Ms Christine Holly Shantry, ACNP 38935 Ann Arbor Rd, Livonia, MI 48150-3397 Ph: (734) 632-0175	Ms Christine Holly Shantry, ACNP 15855 19 Mile Rd, Emergency Dept, Clinton Township, MI 48038-3504 Ph: (586) 263-2601

Reviews and Comments

Nurse Practitioner Nurses in Clinton Township, MI

Emily Begian, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43361 Commons Dr, Clinton Township, MI 48038 Phone: 586-745-3006 Fax: 586-935-3762
Mrs. Michelle Carol Brogdon, RN, MSN, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16151 19 Mile Rd Ste 120, Clinton Township, MI 48038 Phone: 586-263-2222
Dr. Esther Casinelli Sikorski, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35200 Little Mack Ave, Clinton Township, MI 48035 Phone: 586-790-4096 Fax: 586-790-4364
Sara Cormendy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2075
Judy Haefner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38242 Sarnette St, Clinton Township, MI 48036 Phone: 586-954-9042
Mrs. Dana Marie Wenner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2788 Fax: 586-263-2577
Melissa Marie Morrison, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300

Ms Christine Holly Shantry, ACNP - Medicare Nurse Practitioner in Clinton Township, MI