Shane Mark Watts, APRN, PMHNP-BC - Medicare Nurse Practitioner in Louisville, KY

Shane Mark Watts, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kentucky Psychiatry Llc and his current practice location is 801 Barret Ave Ste 110, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 792-0275.

Shane Mark Watts is licensed to practice in Kentucky (license number 3017240) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285385005.

Contact Information

Shane Mark Watts, APRN, PMHNP-BC
801 Barret Ave Ste 110,
Louisville, KY 40204-1732
(502) 792-0275
Not Available

Map and Direction




Provider's Profile

Full NameShane Mark Watts
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location801 Barret Ave Ste 110, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane Mark Watts graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1285385005
  • Provider Enumeration Date: 01/13/2022
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345633368
  • Enrollment ID: I20220215000475

Medical Identifiers

Medical identifiers for Shane Mark Watts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285385005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 3017240 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Psychiatry Llc60021843899

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 Mark Watts allows following entities to bill medicare on his behalf.
Entity NameKentucky Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104358597
PECOS PAC ID: 6002184389
Enrollment ID: O20170608002297

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 Mark Watts 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 Mark Watts, APRN, PMHNP-BC
130 Lakelynn Ave,
Shelbyville, KY 40065-7403

Ph: (502) 689-9994
Shane Mark Watts, APRN, PMHNP-BC
801 Barret Ave Ste 110,
Louisville, KY 40204-1732

Ph: (502) 792-0275

Reviews and Comments


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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).

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