Shana Clarkson, NP is a medicare enrolled "Nurse Practitioner" in Mt Sterling, Illinois. Her current practice location is
2500 Route 99 S, Mt Sterling, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 773-4441.
Shana Clarkson is licensed to practice in Illinois (license number 209020182) 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 1053952515.
Provider's Profile
Full Name | Shana Clarkson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2500 Route 99 S, Mt Sterling, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053952515
- Provider Enumeration Date: 10/04/2019
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577905991
- Enrollment ID: I20240530001011
Medical Identifiers
Medical identifiers for Shana Clarkson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053952515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 209020182 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 209020182 (Illinois) | 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. Shana Clarkson allows following entities to bill medicare on her behalf.
Entity Name | Blessing Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
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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. Shana Clarkson 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 |
Shana Clarkson, NP 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-1200 | Shana Clarkson, NP 2500 Route 99 S, Mt Sterling, IL 62353-1462 Ph: (217) 773-4441 |
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