Shannon Nikkole Kemp, in Helena, AL - Medicare Nurse Practitioner

Shannon Nikkole Kemp, is a medicare enrolled "Nurse Practitioner - Acute Care" in Helena, Alabama. Her current practice location is 2690 Hawthorne Lake Rd, Helena, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 223-5242.

Shannon Nikkole Kemp is licensed to practice in Alabama (license number 1-32286) 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 1497480396.

Contact Information

	Shannon Nikkole Kemp,
	2690 Hawthorne Lake Rd, Helena, AL 35022-7215
	(205) 223-5242
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Nikkole Kemp
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2690 Hawthorne Lake Rd, Helena, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497480396
Provider Enumeration Date: 07/24/2022
Last Update Date: 07/24/2022

Medicare PECOS Information:

PECOS PAC ID: 5597115329
Enrollment ID: I20231220001443

Medical Identifiers

Medical identifiers for Shannon Nikkole Kemp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497480396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-32286 (Alabama)	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 Nikkole Kemp allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Nikkole Kemp 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 Nikkole Kemp, 2690 Hawthorne Lake Rd, Helena, AL 35022-7215 Ph: (205) 223-5242	Shannon Nikkole Kemp, 2690 Hawthorne Lake Rd, Helena, AL 35022-7215 Ph: (205) 223-5242

Reviews and Comments

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Mrs. Amanda Paige Davis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Village Pkwy, Helena, AL 35080 Phone: 205-664-9430 Fax: 205-664-1846
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Shannon Nikkole Kemp, - Medicare Nurse Practitioner in Helena, AL