Mrs Shelley Jane Everts, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Albemarle, North Carolina. Her current practice location is
350 Pee Dee Ave, Ste 101, Albemarle, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 986-1500.
Mrs Shelley Jane Everts is licensed to practice in North Carolina (license number 5002801) 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 1326253774.
Physician's Profile
| Full Name | Mrs Shelley Jane Everts |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 350 Pee Dee Ave, Albemarle, North 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: 1326253774
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 05/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 2365534872
- Enrollment ID: I20070828000551
Medical Identifiers
Medical identifiers for Mrs Shelley Jane Everts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326253774 | NPI | - | NPPES |
| 2592950 | Other | | MEDICARE PTAN |
| 186Q2 | Other | NC | BCBS |
| 2592950A | Other | NC | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 005002801 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5002801 (North Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5002801 (North 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. Mrs Shelley Jane Everts allows following entities to bill medicare on her behalf.
| Entity Name | Monarch |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801116405
PECOS PAC ID: 0244273852
Enrollment ID: O20050728000103 |
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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 Shelley Jane Everts 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 Shelley Jane Everts, FNP
350 Pee Dee Ave, Ste 101,
Albemarle, NC 28001-4932
Ph: (704) 986-1500 | Mrs Shelley Jane Everts, FNP
350 Pee Dee Ave, Ste 101,
Albemarle, NC 28001-4932
Ph: (704) 986-1500 |
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