Shannon Michelle Fryery, NP in Tupelo, MS - Medicare Nurse Practitioner

Shannon Michelle Fryery, NP is a medicare enrolled "Nurse Practitioner - Family" in Tupelo, Mississippi. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Mississippi Medical Center Inc and her current practice location is 806 Garfield St, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-5395.

Shannon Michelle Fryery is licensed to practice in Mississippi (license number R853471) 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 1407895725.

Contact Information

	Shannon Michelle Fryery, NP
	806 Garfield St, Tupelo, MS 38801-5749
	(662) 377-5395
	(662) 377-5390

Map and Direction

Provider's Profile

Full Name	Shannon Michelle Fryery
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	806 Garfield St, Tupelo, Mississippi
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:

Shannon Michelle Fryery graduated from nursing school in 2001

NPI Data:

NPI Number: 1407895725
Provider Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476522004
Enrollment ID: I20040929001138

Medical Identifiers

Medical identifiers for Shannon Michelle Fryery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407895725	NPI	-	NPPES
04338295	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R853471 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Center	Tupelo, MS	Hospital
Clay County Medical Corporation	West point, MS	Hospital
North Mississippi Medical Center-gilmore Amory	Amory, MS	Hospital
Pontotoc Health Service Inc Cah	Pontotoc, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Mississippi Medical Center Inc	9931010600	285

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. Shannon Michelle Fryery allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Medical Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582

Entity Name	North Mississippi Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

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. Shannon Michelle Fryery 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
Shannon Michelle Fryery, NP 450 E President Ave, Tupelo, MS 38801-5599 Ph: (662) 377-4685	Shannon Michelle Fryery, NP 806 Garfield St, Tupelo, MS 38801-5749 Ph: (662) 377-5395

Reviews and Comments

Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000

Shannon Michelle Fryery, NP - Medicare Nurse Practitioner in Tupelo, MS