Shelby Potter, FNP is a medicare enrolled "Nurse Practitioner - Family" in Winfield, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mountain Peoples Health Councils Inc and her current practice location is
25677 Scott Hwy, Winfield, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 569-8064.
Shelby Potter is licensed to practice in Tennessee (license number 20959) 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 1366803066.
Provider's Profile
| Full Name | Shelby Potter |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 25677 Scott Hwy, Winfield, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shelby Potter attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2015
NPI Data:
- NPI Number: 1366803066
- Provider Enumeration Date: 03/09/2016
- Last Update Date: 03/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 2264721935
- Enrollment ID: I20160519000654
Medical Identifiers
Medical identifiers for Shelby Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366803066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 20959 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mountain Peoples Health Councils Inc | 7517945678 | 17 |
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 Potter allows following entities to bill medicare on her behalf.
| Entity Name | Mountain Peoples Health Councils Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871594333
PECOS PAC ID: 7517945678
Enrollment ID: O20040713001525 |
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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 Potter 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 |
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Shelby Potter, FNP
470 Industrial Ln,
Oneida, TN 37841-6294
Ph: (423) 286-4141 | Shelby Potter, FNP
25677 Scott Hwy,
Winfield, TN 37892-2293
Ph: (423) 569-8064 |
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