Amanda L Shelby, APRN in Groton, CT - Medicare Nurse Practitioner

Amanda L Shelby, APRN is a medicare enrolled "Nurse Practitioner - Family" in Groton, Connecticut. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prohealth Physicians Pc and her current practice location is 915 Poquonnock Rd, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 446-0144.

Amanda L Shelby is licensed to practice in Connecticut (license number 9210) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982204715.

Contact Information

	Amanda L Shelby, APRN
	915 Poquonnock Rd, Groton, CT 06340-4257
	(860) 446-0144
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda L Shelby
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	915 Poquonnock Rd, Groton, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda L Shelby graduated from nursing school in 2020

NPI Data:

NPI Number: 1982204715
Provider Enumeration Date: 10/30/2020
Last Update Date: 12/10/2020

Medicare PECOS Information:

PECOS PAC ID: 4688083678
Enrollment ID: I20210504000164

Medical Identifiers

Medical identifiers for Amanda L Shelby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982204715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	137290 (Connecticut)	Secondary
163W00000X	Registered Nurse	RN2309851 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	9210 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prohealth Physicians Pc	1355246950	199

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. Amanda L Shelby allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Amanda L Shelby 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
Amanda L Shelby, APRN 110 Old Kent Rd N, Tolland, CT 06084-3328 Ph: () -	Amanda L Shelby, APRN 915 Poquonnock Rd, Groton, CT 06340-4257 Ph: (860) 446-0144

Reviews and Comments

Nurse Practitioner Nurses in Groton, CT

Mrs. Cynthia D L'heureux, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303
Matthew David Cooper, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123
Joanna L. Breton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Route 12, Groton, CT 06340 Phone: 860-446-6137
Maria Kristine Tompkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 Gold Star Hwy, Groton, CT 06340 Phone: 860-445-5107
Dr. John Anthony Hoyos, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave Bldg 449, Groton, CT 06349 Phone: 860-694-4123
Kathryn Walck, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 915 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-0144
Ms. Gail Lee Sanjuan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590

Amanda L Shelby, APRN - Medicare Nurse Practitioner in Groton, CT