Crystal Ann Shagena, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Carleton, Michigan. 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 First Choice Urgent Care Pc and her current practice location is
9920 Lazy Oak Dr, Carleton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 755-5993.
Crystal Ann Shagena is licensed to practice in Michigan (license number 4704261257) 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 1528677523.
Provider's Profile
| Full Name | Crystal Ann Shagena |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 9920 Lazy Oak Dr, Carleton, Michigan |
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| 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:
- Crystal Ann Shagena graduated from nursing school in 2020
NPI Data:
- NPI Number: 1528677523
- Provider Enumeration Date: 07/25/2020
- Last Update Date: 11/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698164309
- Enrollment ID: I20211118002563
Medical Identifiers
Medical identifiers for Crystal Ann Shagena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528677523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 4704261257 (Michigan) | Secondary |
| 163W00000X | Registered Nurse | 4704261257 (Michigan) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704261257 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| First Choice Urgent Care Pc | 9739221912 | 36 |
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. Crystal Ann Shagena allows following entities to bill medicare on her behalf.
| Entity Name | First Choice Urgent Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629201264 PECOS PAC ID: 9739221912 Enrollment ID: O20100126000872 |
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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. Crystal Ann Shagena 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 |
Crystal Ann Shagena, FNP-BC 9920 Lazy Oak Dr, Carleton, MI 48117-9643 Ph: (734) 755-5993 | Crystal Ann Shagena, FNP-BC 9920 Lazy Oak Dr, Carleton, MI 48117-9643 Ph: (734) 755-5993 |
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