Shiny George, in Dayton, OH - Medicare Nurse Practitioner

Shiny George, is a medicare enrolled "Nurse Practitioner - Family" in Dayton, Ohio. Her current practice location is 1435 Cincinnati St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 941-4999.

Shiny George is licensed to practice in Ohio (license number APRN.CNP.0028330) 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 1063003077.

Contact Information

	Shiny George,
	1435 Cincinnati St, Dayton, OH 45417-4614
	(513) 941-4999
	(513) 694-0168

Map and Direction

Provider's Profile

Full Name	Shiny George
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1435 Cincinnati St, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063003077
Provider Enumeration Date: 02/02/2021
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3072991132
Enrollment ID: I20220601001006

Medical Identifiers

Medical identifiers for Shiny George such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063003077	NPI	-	NPPES
0434641	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN.308675 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0028330 (Ohio)	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. Shiny George allows following entities to bill medicare on her behalf.

Entity Name	Sunrise Treatment Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992043053 PECOS PAC ID: 8628336617 Enrollment ID: O20180313001475

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. Shiny George 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
Shiny George, 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 Ph: (513) 941-4999	Shiny George, 1435 Cincinnati St, Dayton, OH 45417-4614 Ph: (513) 941-4999

Reviews and Comments

Nurse Practitioner Nurses in Dayton, OH

David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603
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Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357
Mr. Kenneth Levi Moore Iii, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5981 Far Hills Ave, Dayton, OH 45429 Phone: 937-438-5954

Shiny George, - Medicare Nurse Practitioner in Dayton, OH