Shuntelle Hawk, FNP-C in Mesa, AZ - Medicare Nurse Practitioner

Shuntelle Hawk, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. Her current practice location is 1250 S Clearview Ave, Suite 100, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 663-2430.

Shuntelle Hawk is licensed to practice in Arizona (license number RN138878) 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 1033508635.

Contact Information

	Shuntelle Hawk, FNP-C
	1250 S Clearview Ave, Suite 100, Mesa, AZ 85209-3378
	(480) 663-2430
	Not Available

Map and Direction

Provider's Profile

Full Name	Shuntelle Hawk
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1250 S Clearview Ave, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033508635
Provider Enumeration Date: 01/20/2015
Last Update Date: 06/19/2020

Medicare PECOS Information:

PECOS PAC ID: 7315258258
Enrollment ID: I20150921002788

Medical Identifiers

Medical identifiers for Shuntelle Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033508635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN138878 (Arizona)	Primary
363LF0000X	Nurse Practitioner - Family	AP7573 (Arizona)	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. Shuntelle Hawk allows following entities to bill medicare on her behalf.

Entity Name	Empact- Suicide Prevention Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003982133 PECOS PAC ID: 2365416575 Enrollment ID: O20040824000311

Entity Name	Terros, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841498060 PECOS PAC ID: 8224077045 Enrollment ID: O20050429000811

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. Shuntelle Hawk 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
Shuntelle Hawk, FNP-C 3003 N Central Ave Ste 400, Phoenix, AZ 85012-2929 Ph: (602) 685-6000	Shuntelle Hawk, FNP-C 1250 S Clearview Ave, Suite 100, Mesa, AZ 85209-3378 Ph: (480) 663-2430

Reviews and Comments

Nurse Practitioner Nurses in Mesa, AZ

Aida E Amado, MS, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10163 E Jacob Ave, Mesa, AZ 85209 Phone: 480-296-8849
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Mrs. Marguerite R Galindo, MS, FNP-C, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6015 E Brown Rd, Mesa, AZ 85205 Phone: 480-266-4436

Shuntelle Hawk, FNP-C - Medicare Nurse Practitioner in Mesa, AZ