Tanna Shockley, APRN in Dardanelle, AR - Medicare Nurse Practitioner

Tanna Shockley, APRN is a medicare enrolled "Nurse Practitioner - Family" in Dardanelle, Arkansas. Her current practice location is 1652 State Highway 22 W, Dardanelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 229-8000.

Tanna Shockley is licensed to practice in Arkansas (license number A005012) 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 1487191987.

Contact Information

	Tanna Shockley, APRN
	1652 State Highway 22 W, Dardanelle, AR 72834-2909
	(479) 229-8000
	(833) 637-1613

Map and Direction

Provider's Profile

Full Name	Tanna Shockley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1652 State Highway 22 W, Dardanelle, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487191987
Provider Enumeration Date: 01/23/2017
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5496025876
Enrollment ID: I20170718000532

Medical Identifiers

Medical identifiers for Tanna Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487191987	NPI	-	NPPES
A005012	Other	AR	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005012 (Arkansas)	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. Tanna Shockley allows following entities to bill medicare on her behalf.

Entity Name	Ozark Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366614935 PECOS PAC ID: 2769559848 Enrollment ID: O20080916000561

Entity Name	The Kirkland Family Medical Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316145022 PECOS PAC ID: 7214063031 Enrollment ID: O20100331000941

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. Tanna Shockley 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
Tanna Shockley, APRN 1652 State Highway 22 W, Dardanelle, AR 72834-2909 Ph: (479) 229-8000	Tanna Shockley, APRN 1652 State Highway 22 W, Dardanelle, AR 72834-2909 Ph: (479) 229-8000

Reviews and Comments

Nurse Practitioner Nurses in Dardanelle, AR

Ashley Dawn Shrives, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W, Suite B, Dardanelle, AR 72834 Phone: 870-605-0014 Fax: 870-994-7488
Keely Hatfield, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3085
Joe Hebert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194
Maranda J Moore, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10812 Rob Hill Rd, Dardanelle, AR 72834 Phone: 479-453-6216
Kayla Manatt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-229-8000 Fax: 479-477-3925
Katerina Lynn Devore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194
Gretchen Keyse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 N 4th St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-5749

Tanna Shockley, APRN - Medicare Nurse Practitioner in Dardanelle, AR