Shiny Raju, ACNP-BC in Dallas, TX - Medicare Nurse Practitioner

Shiny Raju, ACNP-BC is a medicare enrolled "Nurse Practitioner" in Dallas, Texas. His current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 648-9741.

Shiny Raju is licensed to practice in Texas (license number 603660) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396099909.

Contact Information

	Shiny Raju, ACNP-BC
	5323 Harry Hines Blvd, Dallas, TX 75390-7201
	(214) 648-9741
	(214) 648-9531

Map and Direction

Provider's Profile

Full Name	Shiny Raju
Gender	Male
Speciality	Nurse Practitioner
Location	5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396099909
Provider Enumeration Date: 11/05/2012
Last Update Date: 11/05/2012

Medicare PECOS Information:

PECOS PAC ID: 8729239652
Enrollment ID: I20121127000092

Medical Identifiers

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

Identifier	Type	State	Issuer
1396099909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	603660 (Texas)	Primary
363LA2100X	Nurse Practitioner - Acute Care	603660 (Texas)	Secondary

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 Raju allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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 Raju 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 Raju, ACNP-BC Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 648-9741	Shiny Raju, ACNP-BC 5323 Harry Hines Blvd, Dallas, TX 75390-7201 Ph: (214) 648-9741

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Shiny Raju, ACNP-BC - Medicare Nurse Practitioner in Dallas, TX