Kara Jane Shirley, is a medicare enrolled "Nurse Practitioner - Family" physician in Greenville, South Carolina. Her current practice location is
2210 Laurens Rd, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 288-8280.
Kara Jane Shirley is licensed to practice in South Carolina (license number 23052) 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 1962054452.
Physician's Profile
| Full Name | Kara Jane Shirley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2210 Laurens Rd, Greenville, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962054452
- Provider Enumeration Date: 07/15/2019
- Last Update Date: 09/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507291184
- Enrollment ID: I20200109001269
Medical Identifiers
Medical identifiers for Kara Jane Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962054452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 23052 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23032 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23052 (South Carolina) | 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. Kara Jane Shirley allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
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| Entity Name | Woodruff Road Urgent Care Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598073496
PECOS PAC ID: 7911182084
Enrollment ID: O20110505000224 |
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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. Kara Jane Shirley 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 |
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Kara Jane Shirley,
111 N Elm St,
Pendleton, SC 29670-1729
Ph: (843) 267-9998 | Kara Jane Shirley,
2210 Laurens Rd,
Greenville, SC 29607-3224
Ph: (864) 288-8280 |
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