Shelley C Debusk, CPNP in Fort Worth, TX - Medicare Nurse Practitioner

Shelley C Debusk, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fort Worth, Texas. Her current practice location is 10601 N Riverside Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 347-2600.

Shelley C Debusk is licensed to practice in Texas (license number AP138845) 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 1104399286.

Contact Information

	Shelley C Debusk, CPNP
	10601 N Riverside Dr, Fort Worth, TX 76244-2118
	(817) 347-2600
	(817) 347-2670

Map and Direction

Provider's Profile

Full Name	Shelley C Debusk
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	10601 N Riverside Dr, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104399286
Provider Enumeration Date: 01/10/2019
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2264840115
Enrollment ID: I20210414002443

Medical Identifiers

Medical identifiers for Shelley C Debusk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104399286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	AP138845 (Texas)	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. Shelley C Debusk allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

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. Shelley C Debusk 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
Shelley C Debusk, CPNP Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-1860	Shelley C Debusk, CPNP 10601 N Riverside Dr, Fort Worth, TX 76244-2118 Ph: (817) 347-2600

Reviews and Comments

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Shelley C Debusk, CPNP - Medicare Nurse Practitioner in Fort Worth, TX