Jennifer Lynn Shull, NP - Medicare Nurse Practitioner in Malone, NY

Jennifer Lynn Shull, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Malone, New York. Her current practice location is 183 Park St, Malone, New York. You can reach out to her office (for appointments etc.) via phone at (518) 481-2600.

Jennifer Lynn Shull is licensed to practice in New York (license number 383051) 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 1780235622.

Contact Information

Jennifer Lynn Shull, NP
183 Park St,
Malone, NY 12953-1242
(518) 481-2600
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Lynn Shull
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location183 Park St, Malone, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780235622
  • Provider Enumeration Date: 09/23/2019
  • Last Update Date: 09/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971938457
  • Enrollment ID: I20200109001787

Medical Identifiers

Medical identifiers for Jennifer Lynn Shull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780235622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 383051 (New York)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. Jennifer Lynn Shull allows following entities to bill medicare on her behalf.
Entity NameAlice Hyde Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114954682
PECOS PAC ID: 4082525837
Enrollment ID: O20031126000357

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. Jennifer Lynn Shull 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 AddressPractice Location Address
Jennifer Lynn Shull, NP
183 Park St,
Malone, NY 12953-1242

Ph: (518) 481-2600
Jennifer Lynn Shull, NP
183 Park St,
Malone, NY 12953-1242

Ph: (518) 481-2600

Reviews and Comments


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Darlean James, FNP-C
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Miss Lorna Leah Jewell, NPP
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Medicare: Medicare Enrolled
Practice Location: 65 Park St, West Wing, Malone, NY 12953
Phone: 518-483-0454    Fax: 518-483-5567
Ms. Stephanie Leffler, MS, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 183 Park Street, Suite 5, Malone, NY 12953
Phone: 518-483-0482    Fax: 518-483-6727

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.