Mrs Shanna S Carter, FNP-C in Phoenix, AZ - Medicare Nurse Practitioner

Mrs Shanna S Carter, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 345 E. Virginia Avenue, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 258-5545.

Mrs Shanna S Carter is licensed to practice in Arizona (license number AP10232) 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 1154865350.

Contact Information

	Mrs Shanna S Carter, FNP-C
	345 E. Virginia Avenue, Phoenix, AZ 85004-1202
	(602) 258-5545
	(602) 252-6115

Map and Direction

Provider's Profile

Full Name	Mrs Shanna S Carter
Gender	Female
Speciality	Nurse Practitioner - Family
Location	345 E. Virginia Avenue, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154865350
Provider Enumeration Date: 12/07/2016
Last Update Date: 08/07/2019

Medicare PECOS Information:

PECOS PAC ID: 6507125903
Enrollment ID: I20180110001339

Medical Identifiers

Medical identifiers for Mrs Shanna S Carter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154865350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP10232 (Arizona)	Primary
163WH1000X	Registered Nurse - Hospice	RN116313 (Arizona)	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. Mrs Shanna S Carter allows following entities to bill medicare on her behalf.

Entity Name	Century Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346499324 PECOS PAC ID: 3971665605 Enrollment ID: O20090203000530

Entity Name	Primary Care Walk-in Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790196806 PECOS PAC ID: 5496975153 Enrollment ID: O20140930002299

Entity Name	Summit Medical Group Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015

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. Mrs Shanna S Carter 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
Mrs Shanna S Carter, FNP-C 345 E. Virginia Avenue, Phoenix, AZ 85004-1202 Ph: (602) 258-5545	Mrs Shanna S Carter, FNP-C 345 E. Virginia Avenue, Phoenix, AZ 85004-1202 Ph: (602) 258-5545

Reviews and Comments

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Mrs Shanna S Carter, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ