Tracy Shellhorn, in Rockford, IL - Medicare Nurse Practitioner

Tracy Shellhorn, is a medicare enrolled "Nurse Practitioner - Acute Care" in Rockford, Illinois. Her current practice location is 535 Roxbury Rd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 397-7212.

Tracy Shellhorn is licensed to practice in Illinois (license number 209026644) 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 1578276051.

Contact Information

	Tracy Shellhorn,
	535 Roxbury Rd, Rockford, IL 61107-5076
	(815) 397-7212
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy Shellhorn
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	535 Roxbury Rd, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578276051
Provider Enumeration Date: 12/30/2022
Last Update Date: 12/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3678944865
Enrollment ID: I20230126001047

Medical Identifiers

Medical identifiers for Tracy Shellhorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578276051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209026644 (Illinois)	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. Tracy Shellhorn allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Tracy Shellhorn 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
Tracy Shellhorn, 808 Gregory Way, Winnebago, IL 61088-9595 Ph: (815) 988-0635	Tracy Shellhorn, 535 Roxbury Rd, Rockford, IL 61107-5076 Ph: (815) 397-7212

Reviews and Comments

Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433

Tracy Shellhorn, - Medicare Nurse Practitioner in Rockford, IL