Shauna Pettis, ANP in Brandywine, MD - Medicare Nurse Practitioner

Shauna Pettis, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Brandywine, Maryland. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Greater Baden Medical Service Incorporated and her current practice location is 7450 Albert Rd Fl 2, Brandywine, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 888-2233.

Shauna Pettis is licensed to practice in Maryland (license number R215472) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902133143.

Contact Information

	Shauna Pettis, ANP
	7450 Albert Rd Fl 2, Brandywine, MD 20613-3035
	(301) 888-2233
	(301) 888-9133

Map and Direction

Provider's Profile

Full Name	Shauna Pettis
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	7450 Albert Rd Fl 2, Brandywine, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shauna Pettis graduated from nursing school in 2020

NPI Data:

NPI Number: 1902133143
Provider Enumeration Date: 11/09/2009
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9931507332
Enrollment ID: I20230914003120

Medical Identifiers

Medical identifiers for Shauna Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902133143	NPI	-	NPPES
444563500	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R215472 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Greater Baden Medical Service Incorporated	4981632650	24

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. Shauna Pettis allows following entities to bill medicare on her behalf.

Entity Name	Greater Baden Medical Service Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912927344 PECOS PAC ID: 4981632650 Enrollment ID: O20221202000091

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. Shauna Pettis 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
Shauna Pettis, ANP 11207 Barnswallow Pl Apt E, Waldorf, MD 20603-4837 Ph: (414) 748-7776	Shauna Pettis, ANP 7450 Albert Rd Fl 2, Brandywine, MD 20613-3035 Ph: (301) 888-2233

Reviews and Comments

Nurse Practitioner Nurses in Brandywine, MD

Mrs. Shelley Deanna Martin, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7450 Albert Rd, Brandywine, MD 20613 Phone: 301-599-0460
Ozichukwu Awusah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8204 Owens Way, Brandywine, MD 20613 Phone: 254-462-2546
Ms. Donna Mcconathy, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7450 Albert Rd Fl 2, Brandywine, MD 20613 Phone: 301-888-2233 Fax: 301-888-9133
Mutiat O. Popoola, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15518 Kennett Square Way, Brandywine, MD 20613 Phone: 240-988-3779
Tamika Maxwell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 110, Brandywine, MD 20613 Phone: 301-242-5699 Fax: 301-782-2221
Ms. Latoya Belton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13201 Hampton Farm Ln, Brandywine, MD 20613 Phone: 703-853-4932
Margaret Derosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 200, Brandywine, MD 20613 Phone: 301-812-3900

Shauna Pettis, ANP - Medicare Nurse Practitioner in Brandywine, MD