Shavon C Donald, in Indianapolis, IN - Medicare Nurse Practitioner

Shavon C Donald, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Indianapolis, Indiana. Her current practice location is 222 E Ohio St Ste 100, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 873-6438.

Shavon C Donald is licensed to practice in Indiana (license number 28184845A) 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 1164837068.

Contact Information

	Shavon C Donald,
	222 E Ohio St Ste 100, Indianapolis, IN 46204-2193
	(317) 873-6438
	Not Available

Map and Direction

Provider's Profile

Full Name	Shavon C Donald
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	222 E Ohio St Ste 100, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164837068
Provider Enumeration Date: 06/30/2014
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 9032336508
Enrollment ID: I20140806001300

Medical Identifiers

Medical identifiers for Shavon C Donald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164837068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28184845A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	28184845A (Indiana)	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. Shavon C Donald allows following entities to bill medicare on her behalf.

Entity Name	Adult And Child Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154368512 PECOS PAC ID: 3678567898 Enrollment ID: O20050119000497

Entity Name	Minuteclinic Diagnostics Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830

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. Shavon C Donald 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
Shavon C Donald, 322 Green Meadow Dr, Indianapolis, IN 46229-3518 Ph: (812) 552-6870	Shavon C Donald, 222 E Ohio St Ste 100, Indianapolis, IN 46204-2193 Ph: (317) 873-6438

Reviews and Comments

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Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516
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Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1545 N Meridian St, Indianapolis, IN 46202 Phone: 317-923-1491
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617

Shavon C Donald, - Medicare Nurse Practitioner in Indianapolis, IN