Shane Louis Pennison, APRN, FNP-C - Medicare Nurse Practitioner in Winnfield, LA

Shane Louis Pennison, APRN, FNP-C is a medicare enrolled "Nurse Practitioner" in Winnfield, Louisiana. His current practice location is 431 W Lafayette St, Winnfield, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 648-0375.

Shane Louis Pennison is licensed to practice in Louisiana (license number 225854) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063142412.

Contact Information

Shane Louis Pennison, APRN, FNP-C
431 W Lafayette St,
Winnfield, LA 71483-3463
(318) 648-0375
Not Available

Map and Direction




Provider's Profile

Full NameShane Louis Pennison
GenderMale
SpecialityNurse Practitioner
Location431 W Lafayette St, Winnfield, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063142412
  • Provider Enumeration Date: 06/16/2022
  • Last Update Date: 06/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719368745
  • Enrollment ID: I20220721001490

Medical Identifiers

Medical identifiers for Shane Louis Pennison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063142412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 225854 (Louisiana)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. Shane Louis Pennison allows following entities to bill medicare on his behalf.
Entity NameWinn Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275769119
PECOS PAC ID: 2567516545
Enrollment ID: O20090918000491

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. Shane Louis Pennison 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 AddressPractice Location Address
Shane Louis Pennison, APRN, FNP-C
Po Box 68,
Dry Prong, LA 71423-0068

Ph: (318) 447-5305
Shane Louis Pennison, APRN, FNP-C
431 W Lafayette St,
Winnfield, LA 71483-3463

Ph: (318) 648-0375

Reviews and Comments


Nurse Practitioner Nurses in Winnfield, LA

Delinda Cockerham, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 560 Gum Springs Road, Winnfield, LA 71483
Phone: 318-628-3971    
Jamie Golemon, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Lafayette St, Winnfield, LA 71483
Phone: 318-648-0375    Fax: 318-648-0378
Mrs. Amanda Gammel James, PCPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Lafayette St, Winnfield, LA 71483
Phone: 318-648-0375    
Sylvia Denise Powell, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 560 Gum Springs Road, Winnfield, LA 71483
Phone: 318-628-3971    
Mrs. Angela Nicole Thorn, CPNP-PN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 609 W Court St Ste B, Winnfield, LA 71483
Phone: 318-209-4646    Fax: 318-209-4649
Mrs. Ansley T Hughes, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 431 W Lafayette St, Winnfield, LA 71483
Phone: 318-704-5775    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.