Shannon Nicole Goines, NP in Southaven, MS - Medicare Nurse Practitioner

Shannon Nicole Goines, NP is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. Her current practice location is 401 Southcrest Cir Ste 203, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 227-9580.

Shannon Nicole Goines is licensed to practice in Tennessee (license number 32512) 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 1962139261.

Contact Information

	Shannon Nicole Goines, NP
	401 Southcrest Cir Ste 203, Southaven, MS 38671-6719
	(901) 227-9580
	(901) 227-9527

Map and Direction

Provider's Profile

Full Name	Shannon Nicole Goines
Gender	Female
Speciality	Nurse Practitioner - Family
Location	401 Southcrest Cir Ste 203, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962139261
Provider Enumeration Date: 08/05/2022
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1658740808
Enrollment ID: I20221209000368

Medical Identifiers

Medical identifiers for Shannon Nicole Goines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962139261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905907 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	32512 (Tennessee)	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. Shannon Nicole Goines allows following entities to bill medicare on her behalf.

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385

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 Nicole Goines 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 Nicole Goines, NP 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () -	Shannon Nicole Goines, NP 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 Ph: (901) 227-9580

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Shannon Nicole Goines, NP - Medicare Nurse Practitioner in Southaven, MS