Shanna Lynn White, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Shelburn, Indiana. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Valle Vista Llc and her current practice location is
210 W Broadway St, Shelburn, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 562-0323.
Shanna Lynn White is licensed to practice in Indiana (license number 71006501A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003369091.
Provider's Profile
Full Name | Shanna Lynn White |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 210 W Broadway St, Shelburn, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shanna Lynn White graduated from nursing school in 2015
NPI Data:
- NPI Number: 1003369091
- Provider Enumeration Date: 07/26/2016
- Last Update Date: 03/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830486034
- Enrollment ID: I20160930001351
Medical Identifiers
Medical identifiers for Shanna Lynn White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003369091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71006501A (Indiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2019035100 (Indiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71006501A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Valle Vista Llc | 8224948930 | 10 |
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. Shanna Lynn White allows following entities to bill medicare on her behalf.
Entity Name | Valle Vista Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699722405 PECOS PAC ID: 8224948930 Enrollment ID: O20091224000024 |
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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. Shanna Lynn White 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 |
Shanna Lynn White, 210 W Broadway St, Shelburn, IN 47879-1202 Ph: (812) 562-0323 | Shanna Lynn White, 210 W Broadway St, Shelburn, IN 47879-1202 Ph: (812) 562-0323 |
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