Alice Shackelford, FNP-C in Jackson, MS - Medicare Nurse Practitioner

Alice Shackelford, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 971 Lakeland Dr Ste 950, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 362-6900.

Alice Shackelford is licensed to practice in Mississippi (license number 905551) 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 1316653397.

Contact Information

	Alice Shackelford, FNP-C
	971 Lakeland Dr Ste 950, Jackson, MS 39216-4608
	(601) 362-6900
	(601) 362-6111

Map and Direction

Provider's Profile

Full Name	Alice Shackelford
Gender	Female
Speciality	Nurse Practitioner - Family
Location	971 Lakeland Dr Ste 950, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316653397
Provider Enumeration Date: 01/24/2023
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1557735586
Enrollment ID: I20230314003162

Medical Identifiers

Medical identifiers for Alice Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316653397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905551 (Mississippi)	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. Alice Shackelford allows following entities to bill medicare on her behalf.

Entity Name	Mississippi Arthritis Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275713471 PECOS PAC ID: 6800971946 Enrollment ID: O20080313000008

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. Alice Shackelford 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
Alice Shackelford, FNP-C Po Box 296, Benton, MS 39039-0296 Ph: (769) 234-8311	Alice Shackelford, FNP-C 971 Lakeland Dr Ste 950, Jackson, MS 39216-4608 Ph: (601) 362-6900

Reviews and Comments

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Alice Shackelford, FNP-C - Medicare Nurse Practitioner in Jackson, MS