Shellie J Moffett, NP in Amory, MS - Medicare Nurse Practitioner

Shellie J Moffett, NP is a medicare enrolled "Nurse Practitioner - Family" in Amory, Mississippi. 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 Boa Vida Hospital Of Aberdeen Ms Llc and her current practice location is 1105 Earl Frye Blvd, Amory, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 256-7112.

Shellie J Moffett is licensed to practice in Mississippi (license number R855814) 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 1902116064.

Contact Information

	Shellie J Moffett, NP
	1105 Earl Frye Blvd, Amory, MS 38821-5500
	(662) 256-7112
	(662) 256-7116

Map and Direction

Provider's Profile

Full Name	Shellie J Moffett
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1105 Earl Frye Blvd, Amory, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shellie J Moffett graduated from nursing school in 2010

NPI Data:

NPI Number: 1902116064
Provider Enumeration Date: 10/07/2010
Last Update Date: 09/27/2019

Medicare PECOS Information:

PECOS PAC ID: 7810178704
Enrollment ID: I20110225000136

Medical Identifiers

Medical identifiers for Shellie J Moffett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902116064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R855814 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monroe Regional Hospital	Aberdeen, MS	Hospital
North Mississippi Medical Center-gilmore Amory	Amory, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boa Vida Hospital Of Aberdeen Ms Llc	0244505840	37

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. Shellie J Moffett allows following entities to bill medicare on her behalf.

Entity Name	Keystone Hospitalist Services Of Ms Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527

Entity Name	Mississippi Emergency Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710220678 PECOS PAC ID: 2264672492 Enrollment ID: O20130710000827

Entity Name	Boa Vida Hospital Of Aberdeen Ms Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460

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. Shellie J Moffett 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
Shellie J Moffett, NP 10996 Four Seasons Pl, Ste 100a, Crown Point, IN 46307-8685 Ph: (662) 256-7112	Shellie J Moffett, NP 1105 Earl Frye Blvd, Amory, MS 38821-5500 Ph: (662) 256-7112

Reviews and Comments

Nurse Practitioner Nurses in Amory, MS

Amy Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Earl Frye Blvd, Suite A, Amory, MS 38821 Phone: 662-256-9331 Fax: 662-256-9335
Mrs. Katrina Watkins Frields, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1208 Guy Pickle Rd, Amory, MS 38821 Phone: 662-256-3120 Fax: 662-256-7092
Rita Ann Hargett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Earl Frye Blvd, Suite A, Amory, MS 38821 Phone: 662-256-9331 Fax: 662-256-9335
Stacey Nix, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Earl Frye Blvd, Suite A, Amory, MS 38821 Phone: 662-256-9331 Fax: 662-256-9335
Mrs. Ashley Danielle Lann Spann, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-9344
Elaina Ponder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 U.s. 278 Suite A, Amory, MS 38821 Phone: 662-305-9149
Teresa Stanford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1105 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-9327

Shellie J Moffett, NP - Medicare Nurse Practitioner in Amory, MS