Shelly E Willham, CFNP in Ripley, WV - Medicare Nurse Practitioner

Shelly E Willham, CFNP is a medicare enrolled "Nurse Practitioner" in Ripley, West Virginia. Her current practice location is 122 Pinnell Street, Ripley, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 372-2731.

Shelly E Willham is licensed to practice in West Virginia (license number 57551) 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 1578576807.

Contact Information

	Shelly E Willham, CFNP
	122 Pinnell Street, Ripley, WV 25271
	(304) 372-2731
	(304) 372-2749

Map and Direction

Provider's Profile

Full Name	Shelly E Willham
Gender	Female
Speciality	Nurse Practitioner
Location	122 Pinnell Street, Ripley, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578576807
Provider Enumeration Date: 08/15/2006
Last Update Date: 03/14/2008

Medicare PECOS Information:

PECOS PAC ID: 6507863545
Enrollment ID: I20061103000352

Medical Identifiers

Medical identifiers for Shelly E Willham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578576807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	57551 (West Virginia)	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. Shelly E Willham allows following entities to bill medicare on her behalf.

Entity Name	Geps Physician Group Of West Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457729212 PECOS PAC ID: 6800105446 Enrollment ID: O20151021001008

Entity Name	Gps Physician Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180205001943

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. Shelly E Willham 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
Shelly E Willham, CFNP 37 Roosevelt St, Reedy, WV 25270-9367 Ph: (304) 372-2731	Shelly E Willham, CFNP 122 Pinnell Street, Ripley, WV 25271 Ph: (304) 372-2731

Reviews and Comments

Nurse Practitioner Nurses in Ripley, WV

Jennifer C. Simon, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Pinnell Street, Ripley, WV 25271 Phone: 304-372-2731 Fax: 304-372-2749
Mrs. Kristy Rosano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Pinnell St, Ripley, WV 25271 Phone: 304-372-2731
Staci D Cummings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Pinnell St, Ripley, WV 25271 Phone: 304-373-1578 Fax: 304-373-0497
Cheryl Kay Payton, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Pinnell St, Ripley, WV 25271 Phone: 304-373-1578 Fax: 304-372-2749
Amanda Bowman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Pinnell St Ste C, Ripley, WV 25271 Phone: 304-373-1537 Fax: 304-974-3469
Jami Kay Clay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Court St S Ste B, Ripley, WV 25271 Phone: 304-372-1030
Victoria Boldman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Pinnell St, Ripley, WV 25271 Phone: 304-373-1521 Fax: 304-373-1522

Shelly E Willham, CFNP - Medicare Nurse Practitioner in Ripley, WV