Shelby Patterson, FNP-C in South Bend, IN - Medicare Nurse Practitioner

Shelby Patterson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. Her current practice location is 1815 E Ireland Rd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-1700.

Shelby Patterson is licensed to practice in Indiana (license number 71012807A) 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 1710611603.

Contact Information

	Shelby Patterson, FNP-C
	1815 E Ireland Rd, South Bend, IN 46614-2845
	(574) 647-1700
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby Patterson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1815 E Ireland Rd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710611603
Provider Enumeration Date: 07/15/2022
Last Update Date: 10/22/2022

Medicare PECOS Information:

PECOS PAC ID: 1557738663
Enrollment ID: I20221102002229

Medical Identifiers

Medical identifiers for Shelby Patterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710611603	NPI	-	NPPES
300067413	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	28220040A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71012807A (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. Shelby Patterson allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Shelby Patterson 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
Shelby Patterson, FNP-C 18591 S Cypress Cir, South Bend, IN 46637-4615 Ph: (574) 309-4594	Shelby Patterson, FNP-C 1815 E Ireland Rd, South Bend, IN 46614-2845 Ph: (574) 647-1700

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Shelby Patterson, FNP-C - Medicare Nurse Practitioner in South Bend, IN