Ms Shay Malynn Benner, CPNP-PC in Albuquerque, NM

Ms Shay Malynn Benner, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Albuquerque, New Mexico. Her current practice location is 2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 272-5551.

Ms Shay Malynn Benner is licensed to practice in New Mexico (license number 62095) 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 1124609979.

Contact Information

	Ms Shay Malynn Benner, CPNP-PC
	2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719
	(505) 272-5551
	(272) 684-5505

Map and Direction

Provider's Profile

Full Name	Ms Shay Malynn Benner
Gender	Female
Speciality	Nurse Practitioner - Pediatrics, Critical Care
Location	2211 Lomas Blvd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124609979
Provider Enumeration Date: 04/14/2021
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4688064728
Enrollment ID: I20211206000558

Medical Identifiers

Medical identifiers for Ms Shay Malynn Benner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124609979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	62095 (New Mexico)	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 Shay Malynn Benner allows following entities to bill medicare on her behalf.

Entity Name	Unm Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689747552 PECOS PAC ID: 7618889528 Enrollment ID: O20040110000011

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 Shay Malynn Benner 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 Shay Malynn Benner, CPNP-PC 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 Ph: (505) 272-5551	Ms Shay Malynn Benner, CPNP-PC 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 Ph: (505) 272-5551

Reviews and Comments

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Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220

Ms Shay Malynn Benner, CPNP-PC - Medicare Nurse Practitioner in Albuquerque, NM