Shane David Statham, in Wichita Falls, TX - Medicare Nurse Practitioner

Shane David Statham, is a medicare enrolled "Nurse Practitioner - Family" in Wichita Falls, Texas. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice United Regional Physician Group and his current practice location is 4327 Barnett Rd, Wichita Falls, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 764-5350.

Shane David Statham is licensed to practice in Texas (license number 1017571) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902422603.

Contact Information

	Shane David Statham,
	4327 Barnett Rd, Wichita Falls, TX 76310-2303
	(940) 764-5350
	(940) 764-5351

Map and Direction

Provider's Profile

Full Name	Shane David Statham
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	4327 Barnett Rd, Wichita Falls, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shane David Statham graduated from nursing school in 2020

NPI Data:

NPI Number: 1902422603
Provider Enumeration Date: 06/18/2020
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8527476274
Enrollment ID: I20210416001248

Medical Identifiers

Medical identifiers for Shane David Statham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902422603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1017571 (Texas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Regional Health Care System	Wichita falls, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
United Regional Physician Group	2163417478	95

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. Shane David Statham allows following entities to bill medicare on his behalf.

Entity Name	United Regional Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407890775 PECOS PAC ID: 2163417478 Enrollment ID: O20040416001015

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. Shane David Statham 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
Shane David Statham, Po Box 9261, Wichita Falls, TX 76308-9261 Ph: (940) 764-7230	Shane David Statham, 4327 Barnett Rd, Wichita Falls, TX 76310-2303 Ph: (940) 764-5350

Reviews and Comments

Nurse Practitioner Nurses in Wichita Falls, TX

Eric Lee Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 Fax: 940-397-5292
Stefanie Kleinle, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3410 Taft Blvd, Wichita Falls, TX 76308 Phone: 940-397-4000
Jeanette Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6515 Kemp Blvd, Wichita Falls, TX 76308 Phone: 406-921-2209
Judith L Brewer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 867 Wellington Ln, Wichita Falls, TX 76305 Phone: 940-704-4496
Miss Hanh T May, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1631 11th St Unit B, Wichita Falls, TX 76301 Phone: 940-687-5000 Fax: 940-687-4000
Beverly Dea Wills, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1631 11th St, Wichita Falls, TX 76301 Phone: 940-767-5000
Lindsey Rene' Mccrary, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4909 Johnson Rd, Wichita Falls, TX 76310 Phone: 940-691-0982

Shane David Statham, - Medicare Nurse Practitioner in Wichita Falls, TX