Shelley Larae Rauh, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hennessey, Oklahoma. Her current practice location is
500 N Main St, Hennessey, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 853-6100.
Shelley Larae Rauh is licensed to practice in Oklahoma (license number 209030) 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 1386377000.
Provider's Profile
Full Name | Shelley Larae Rauh |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 500 N Main St, Hennessey, Oklahoma |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386377000
- Provider Enumeration Date: 07/09/2022
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486022506
- Enrollment ID: I20221122000457
Medical Identifiers
Medical identifiers for Shelley Larae Rauh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386377000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209030 (Oklahoma) | 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 Larae Rauh allows following entities to bill medicare on her behalf.
Entity Name | Stillwater Medical Center Authority |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
---|
Entity Name | Integris Ambulatory Care Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
---|
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 Larae Rauh 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 Larae Rauh, APRN 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (405) 853-6100 | Shelley Larae Rauh, APRN 500 N Main St, Hennessey, OK 73742-1019 Ph: (405) 853-6100 |
Reviews and Comments