Shasta Leann Ebert, in Mooresville, NC - Medicare Nurse Practitioner

Shasta Leann Ebert, is a medicare enrolled "Nurse Practitioner - Family" in Mooresville, North Carolina. Her current practice location is 125 Days Inn Dr, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 660-9111.

Shasta Leann Ebert is licensed to practice in North Carolina (license number 5005908) 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 1093069627.

Contact Information

	Shasta Leann Ebert,
	125 Days Inn Dr, Mooresville, NC 28117-6323
	(704) 660-9111
	(704) 663-4504

Map and Direction

Provider's Profile

Full Name	Shasta Leann Ebert
Gender	Female
Speciality	Nurse Practitioner - Family
Location	125 Days Inn Dr, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093069627
Provider Enumeration Date: 11/05/2012
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8628220464
Enrollment ID: I20121130000461

Medical Identifiers

Medical identifiers for Shasta Leann Ebert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093069627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5005908 (North Carolina)	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. Shasta Leann Ebert allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Shasta Leann Ebert 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
Shasta Leann Ebert, 5415 Pecanbluff Ct, Charlotte, NC 28216-2662 Ph: (704) 560-9158	Shasta Leann Ebert, 125 Days Inn Dr, Mooresville, NC 28117-6323 Ph: (704) 660-9111

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, NC

Erin Abbey Gray, FPN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-696-2929
Marykay Holt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117 Phone: 704-235-9090 Fax: 704-235-9101
Mrs. Deborah O'neil Speaks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 559 River Hwy, Mooresville, NC 28117 Phone: 704-663-3438
Kristin Lea Rice, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-696-2085
Amy Andersen Bush, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075
Dawn Marie Cahn, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 137 Shavender Dr, Mooresville, NC 28117 Phone: 203-856-0745
Elizabeth Rudisill Hayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Argus Ln Ste G, Mooresville, NC 28117 Phone: 704-660-4362 Fax: 704-660-0442

Shasta Leann Ebert, - Medicare Nurse Practitioner in Mooresville, NC