Courtney Leigh Shockley, in Draper, UT - Medicare Nurse Practitioner

Courtney Leigh Shockley, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Draper, Utah. Her current practice location is 721 E 12200 S, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 368-8989.

Courtney Leigh Shockley is licensed to practice in Utah (license number 13654530-4405) 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 1366273898.

Contact Information

	Courtney Leigh Shockley,
	721 E 12200 S, Draper, UT 84020-9723
	(801) 368-8989
	Not Available

Map and Direction

Provider's Profile

Full Name	Courtney Leigh Shockley
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	721 E 12200 S, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366273898
Provider Enumeration Date: 08/07/2024
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0446799191
Enrollment ID: I20240827001374

Medical Identifiers

Medical identifiers for Courtney Leigh Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366273898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	13654530-4405 (Utah)	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. Courtney Leigh Shockley allows following entities to bill medicare on her behalf.

Entity Name	Cedar Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230

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. Courtney Leigh Shockley 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
Courtney Leigh Shockley, 348 W Plum Pl, Saratoga Springs, UT 84045-3799 Ph: (210) 413-7992	Courtney Leigh Shockley, 721 E 12200 S, Draper, UT 84020-9723 Ph: (801) 368-8989

Reviews and Comments

Nurse Practitioner Nurses in Draper, UT

Catherine Schultz, DNP, MN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020 Phone: 385-287-1877
Rebecca Dawn Roy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14658 S Bangerter Pkwy Ste 200, Draper, UT 84020 Phone: 801-839-5557 Fax: 801-719-2281
Angela Rosa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 656 E 11400 S Ste N, Draper, UT 84020 Phone: 801-849-1604
Mckay Norton, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E Ste C, Draper, UT 84020 Phone: 303-385-4140
Lehai Lily Austin, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2050
Dr. Brynn Jenkins Jorgensen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38 W 13775 S Ste 110, Draper, UT 84020 Phone: 801-980-3039 Fax: 385-746-4555
Paige Hess, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12276 S 1300 E, Draper, UT 84020 Phone: 801-572-7835

Courtney Leigh Shockley, - Medicare Nurse Practitioner in Draper, UT