Shantina Marie Kurtz, NP in Springfield, TN - Medicare Nurse Practitioner

Shantina Marie Kurtz, NP is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Tennessee. Her current practice location is 3902 N Breckenridge Ct, Springfield, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 444-4885.

Shantina Marie Kurtz is licensed to practice in Tennessee (license number 33471) 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 1962100768.

Contact Information

	Shantina Marie Kurtz, NP
	3902 N Breckenridge Ct, Springfield, TN 37172-4350
	(931) 444-4885
	Not Available

Map and Direction

Provider's Profile

Full Name	Shantina Marie Kurtz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3902 N Breckenridge Ct, Springfield, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962100768
Provider Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6901271527
Enrollment ID: I20230413001897

Medical Identifiers

Medical identifiers for Shantina Marie Kurtz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962100768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	33471 (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. Shantina Marie Kurtz allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

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. Shantina Marie Kurtz 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
Shantina Marie Kurtz, NP 3902 N Breckenridge Ct, Springfield, TN 37172-4350 Ph: (931) 444-4880	Shantina Marie Kurtz, NP 3902 N Breckenridge Ct, Springfield, TN 37172-4350 Ph: (931) 444-4885

Reviews and Comments

Nurse Practitioner Nurses in Springfield, TN

Michelle Marie Breedlove, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411
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Mrs. Amanda L Lail, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16791 Highway 76 E, Springfield, TN 37172 Phone: 828-238-7224
Mrs. Amanda Kay Hardy, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Memorial Blvd # Tn002, Springfield, TN 37172 Phone: 615-969-1228

Shantina Marie Kurtz, NP - Medicare Nurse Practitioner in Springfield, TN