Mrs Amy Jo Shuptrine, MSN, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner" physician in Athens, Texas. Her current practice location is
2000 S Palestine St, Athens, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 676-1000.
Mrs Amy Jo Shuptrine is licensed to practice in Texas (license number AP140582) 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 1104382597.
Physician's Profile
| Full Name | Mrs Amy Jo Shuptrine |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2000 S Palestine St, Athens, Texas |
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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: 1104382597
- Provider Enumeration Date: 02/11/2019
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446590210
- Enrollment ID: I20190314002367
Medical Identifiers
Medical identifiers for Mrs Amy Jo Shuptrine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104382597 | NPI | - | NPPES |
| 15390359 | Other | TX | TEXAS DRIVERS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 812655 (Texas) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | AP140582 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP140582 (Texas) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | AP140582 (Texas) | Secondary |
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. Mrs Amy Jo Shuptrine allows following entities to bill medicare on her behalf.
| Entity Name | Texas Spine And Joint Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942292255
PECOS PAC ID: 0345272381
Enrollment ID: O20111102000147 |
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| Entity Name | Wound Management Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20200610001466 |
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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. Mrs Amy Jo Shuptrine 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 |
|---|
Mrs Amy Jo Shuptrine, MSN, APRN, FNP-BC
14280 State Highway 155,
Frankston, TX 75763-6734
Ph: (903) 574-2612 | Mrs Amy Jo Shuptrine, MSN, APRN, FNP-BC
2000 S Palestine St,
Athens, TX 75751-5610
Ph: (903) 676-1000 |
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