Angela Stallard Short, FNP in Wise, VA - Medicare Nurse Practitioner

Angela Stallard Short, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wise, Virginia. Her current practice location is 716 Spring Street, Wise, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 328-8910.

Angela Stallard Short is licensed to practice in Virginia (license number 0024168816) 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 1457671265.

Contact Information

	Angela Stallard Short, FNP
	716 Spring Street, Wise, VA 24293
	(276) 328-8910
	(276) 328-4318

Map and Direction

Provider's Profile

Full Name	Angela Stallard Short
Gender	Female
Speciality	Nurse Practitioner - Family
Location	716 Spring Street, Wise, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457671265
Provider Enumeration Date: 06/03/2010
Last Update Date: 06/11/2010

Medicare PECOS Information:

PECOS PAC ID: 5294922787
Enrollment ID: I20101209000755

Medical Identifiers

Medical identifiers for Angela Stallard Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457671265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024168816 (Virginia)	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. Angela Stallard Short allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336

Entity Name	Western Virginia Regional Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386183028 PECOS PAC ID: 4183991227 Enrollment ID: O20170522001368

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. Angela Stallard Short 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
Angela Stallard Short, FNP Po Box 5127, Johnson City, TN 37602-5127 Ph: (866) 397-1439	Angela Stallard Short, FNP 716 Spring Street, Wise, VA 24293 Ph: (276) 328-8910

Reviews and Comments

Nurse Practitioner Nurses in Wise, VA

Joyce Addington, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 628 Lake St Ne, Wise, VA 24293 Phone: 276-328-8017 Fax: 276-328-3350
Johnnie K Carrico, MSN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 College Ave Rm 105, Wise, VA 24293 Phone: 276-376-3475 Fax: 376-328-3102
Ms. Dawn Short, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Wise, VA 24293 Phone: 276-328-7071 Fax: 276-328-6082
Mrs. Hannah Renee Robinson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Roberts Ave Sw, Wise, VA 24293 Phone: 276-328-8000
Crystal Large, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8207 Meadow Brook Way, Wise, VA 24293 Phone: 276-393-9890 Fax: 276-598-1690
Jazlyn Whitney Rowe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5626 Patriot Dr, Wise, VA 24293 Phone: 276-328-8850

Angela Stallard Short, FNP - Medicare Nurse Practitioner in Wise, VA