Mr Jeremy Allen Shutlz, CRNP in Fort Payne, AL

Mr Jeremy Allen Shutlz, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Payne, Alabama. His current practice location is 200 Medical Center Dr Sw, Fort Payne, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 845-3150.

Mr Jeremy Allen Shutlz is licensed to practice in Alabama (license number 1-135341) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902342983.

Contact Information

	Mr Jeremy Allen Shutlz, CRNP
	200 Medical Center Dr Sw, Fort Payne, AL 35968-3458
	(256) 845-3150
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jeremy Allen Shutlz
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	200 Medical Center Dr Sw, Fort Payne, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902342983
Provider Enumeration Date: 01/13/2017
Last Update Date: 01/13/2017

Medicare PECOS Information:

PECOS PAC ID: 8921433624
Enrollment ID: I20200126000007

Medical Identifiers

Medical identifiers for Mr Jeremy Allen Shutlz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902342983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-135341 (Alabama)	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. Mr Jeremy Allen Shutlz allows following entities to bill medicare on his behalf.

Entity Name	Emergency Medical Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609960798 PECOS PAC ID: 8426025453 Enrollment ID: O20040910000476

Entity Name	App Of Alabama Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174

Entity Name	Crestwood Hb Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548940497 PECOS PAC ID: 2163876491 Enrollment ID: O20230920003115

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. Mr Jeremy Allen Shutlz 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
Mr Jeremy Allen Shutlz, CRNP 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 Ph: (256) 845-3150	Mr Jeremy Allen Shutlz, CRNP 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 Ph: (256) 845-3150

Reviews and Comments

Nurse Practitioner Nurses in Fort Payne, AL

Shannon Hilley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Gault Ave N Ste 200, Fort Payne, AL 35967 Phone: 256-997-2855
Lauren Obenlander, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Jordan Rd Sw Ste 300, Fort Payne, AL 35968 Phone: 256-844-2911
Jennifer Frances Hand, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900
Corazon P Alvarado, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2202 Jordan Rd Sw, Fort Payne, AL 35968 Phone: 256-844-2825 Fax: 256-844-1804
Janna Kay Culpepper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900 Fax: 888-977-1691
Micah Miranda Hilyer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3840 Gault Ave N, Fort Payne, AL 35967 Phone: 256-844-4975 Fax: 256-844-4978
Sarah Elizabeth Gilreath, MSN, PMHNP-BC, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900

Mr Jeremy Allen Shutlz, CRNP - Medicare Nurse Practitioner in Fort Payne, AL