Shelley Ladd Brewer, FNP is a medicare enrolled "Nurse Practitioner - Family" in New Johnsonville, Tennessee. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is
1950 Dupont Road, Building 525, Medical Department, New Johnsonville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 535-7216.
Shelley Ladd Brewer is licensed to practice in Tennessee (license number 15779) 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 1760773055.
Provider's Profile
| Full Name | Shelley Ladd Brewer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 1950 Dupont Road, New Johnsonville, 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:
- Shelley Ladd Brewer graduated from nursing school in 2010
NPI Data:
- NPI Number: 1760773055
- Provider Enumeration Date: 04/21/2011
- Last Update Date: 01/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789994385
- Enrollment ID: I20151111001515
Medical Identifiers
Medical identifiers for Shelley Ladd Brewer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760773055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 15779 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
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 Ladd Brewer allows following entities to bill medicare on her behalf.
| Entity Name | Fast Pace Medical Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112 |
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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. Shelley Ladd Brewer 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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Shelley Ladd Brewer, FNP
Po Box 219, 1950 Dupont Road,
New Johnsonville, TN 37134-0219
Ph: (931) 535-7216 | Shelley Ladd Brewer, FNP
1950 Dupont Road, Building 525, Medical Department,
New Johnsonville, TN 37134
Ph: (931) 535-7216 |
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