Ms Kerisha Kay-dean Shepard, RN in Danbury, CT

Ms Kerisha Kay-dean Shepard, RN is a medicare enrolled "Nurse Practitioner - Family" in Danbury, Connecticut. Her current practice location is 38 Old Ridgebury Rd, Danbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 792-4515.

Ms Kerisha Kay-dean Shepard is licensed to practice in Connecticut (license number 10155) 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 1467759613.

Contact Information

	Ms Kerisha Kay-dean Shepard, RN
	38 Old Ridgebury Rd, Danbury, CT 06810-5128
	(203) 792-4515
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kerisha Kay-dean Shepard
Gender	Female
Speciality	Nurse Practitioner - Family
Location	38 Old Ridgebury Rd, Danbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467759613
Provider Enumeration Date: 02/24/2011
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2264819911
Enrollment ID: I20220518001004

Medical Identifiers

Medical identifiers for Ms Kerisha Kay-dean Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467759613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10155 (Connecticut)	Primary
163W00000X	Registered Nurse	637747 (New York)	Secondary

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 Kerisha Kay-dean Shepard allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200114001048

Entity Name	North Shore Lij Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20240402003208

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 Kerisha Kay-dean Shepard 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 Kerisha Kay-dean Shepard, RN 38 Old Ridgebury Rd, Danbury, CT 06810-5128 Ph: (203) 792-4515	Ms Kerisha Kay-dean Shepard, RN 38 Old Ridgebury Rd, Danbury, CT 06810-5128 Ph: (203) 792-4515

Reviews and Comments

Nurse Practitioner Nurses in Danbury, CT

Mrs. Jennifer Mary Danieli, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Milestone Rd, Danbury, CT 06810 Phone: 203-702-7400 Fax: 203-702-7401
Linda Lee Cook, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000
Diane Kay Bowler, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000
Jodi Lynn Dostaler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7101
Mrs. Maria Cutrali, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Osborne St, Suite 131, Danbury, CT 06810 Phone: 203-739-7155 Fax: 203-739-8050
Deloretta Theresa Eckenrode, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Sand Pit Rd Ste 308, Danbury, CT 06810 Phone: 203-743-7264 Fax: 203-792-3920
Mrs. Erin Marie Macdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000

Ms Kerisha Kay-dean Shepard, RN - Medicare Nurse Practitioner in Danbury, CT