Shasta Treadway, PMHNP - Medicare Nurse Practitioner in Walton, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Walton
Shasta Treadway, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walton, New York. Her current practice location is 2 Titus Pl, Walton, New York. You can reach out to her office (for appointments etc.) via phone at (607) 865-2400.

Shasta Treadway is licensed to practice in New York (license number 404416) 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 1245953959.

Contact Information

Shasta Treadway, PMHNP
2 Titus Pl,
Walton, NY 13856-1455
(607) 865-2400
(607) 865-7305

Map and Direction




Provider's Profile

Full NameShasta Treadway
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2 Titus Pl, Walton, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245953959
  • Provider Enumeration Date: 09/19/2022
  • Last Update Date: 09/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658749031
  • Enrollment ID: I20221115003019

Medical Identifiers

Medical identifiers for Shasta Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245953959NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 404416 (New York)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 Treadway allows following entities to bill medicare on her behalf.
Entity NameDelaware Valley Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144312646
PECOS PAC ID: 2860388337
Enrollment ID: O20040223001307
Entity NameDelaware Valley Hospital Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1417940719
PECOS PAC ID: 2860388337
Enrollment ID: O20210611000846

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 Treadway 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 AddressPractice Location Address
Shasta Treadway, PMHNP
1 Titus Pl,
Walton, NY 13856-1457

Ph: () -		Shasta Treadway, PMHNP
2 Titus Pl,
Walton, NY 13856-1455

Ph: (607) 865-2400

Reviews and Comments


Nurse Practitioner Nurses in Walton, NY

Stephanie Marie Dionne, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 North St, Walton, NY 13856
Phone: 607-865-6541    
Nicholas Knibbs, APRN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 North St, Walton, NY 13856
Phone: 607-865-6541    Fax: 607-865-9164
Mrs. Jennifer L Grigoli, PMHNP, DNS
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 243 Delaware St, Walton, NY 13856
Phone: 604-832-5888    
Cynthia M Cantwell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Titus Place, Walton, NY 13856
Phone: 607-865-2400    Fax: 607-865-7305
Emily Seymour, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 Titus Pl, Walton, NY 13856
Phone: 607-865-2400    
Janice Bowker, A.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 130 North St, Walton, NY 13856
Phone: 607-865-6541    Fax: 607-865-1964

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.