Sheryl Lynn Shoebottom, ACNP-BC - Medicare Nurse Practitioner in Mount Clemens, MI

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Sheryl Lynn Shoebottom, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Mount Clemens, Michigan. Her current practice location is 1000 Harrington St, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 493-8000.

Sheryl Lynn Shoebottom is licensed to practice in Michigan (license number 4704181141) 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 1629373253.

Contact Information

Sheryl Lynn Shoebottom, ACNP-BC
1000 Harrington St,
Mount Clemens, MI 48043-2920
(586) 493-8000
Not Available

Map and Direction




Provider's Profile

Full NameSheryl Lynn Shoebottom
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1000 Harrington St, Mount Clemens, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629373253
  • Provider Enumeration Date: 01/12/2011
  • Last Update Date: 03/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6103000849
  • Enrollment ID: I20110405000385

Medical Identifiers

Medical identifiers for Sheryl Lynn Shoebottom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629373253NPI-NPPES
1629373253MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 4704181141 (Michigan)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. Sheryl Lynn Shoebottom allows following entities to bill medicare on her behalf.
Entity NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047
Entity NameMclaren Macomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396014601
PECOS PAC ID: 8921912791
Enrollment ID: O20040120001000
Entity NameAscension Providence Rochester Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427171511
PECOS PAC ID: 8820994098
Enrollment ID: O20040414000188
Entity NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578696092
PECOS PAC ID: 7315859725
Enrollment ID: O20041102000607

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. Sheryl Lynn Shoebottom 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 AddressPractice Location Address
Sheryl Lynn Shoebottom, ACNP-BC
20855 Balinski Dr,
Clinton Township, MI 48038-5613

Ph: (586) 466-4985		Sheryl Lynn Shoebottom, ACNP-BC
1000 Harrington St,
Mount Clemens, MI 48043-2920

Ph: (586) 493-8000

Reviews and Comments


Nurse Practitioner Nurses in Mount Clemens, MI

Zaira Reeder, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Andrew M Jablonowski, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8844    Fax: 586-493-8186
Holly Shemami, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Micayla Crockett, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    Fax: 586-493-8799
Mrs. Myele Williamson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043
Phone: 616-301-8000    
Jennifer Goodin, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18 Market St Ste C, Mount Clemens, MI 48043
Phone: 586-783-2222    Fax: 583-783-6380
Mrs. Kathleen Wojda King, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Harrington St, Disease Management, Mount Clemens, MI 48043
Phone: 586-493-8565    Fax: 586-493-8186

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.