Edward Shane Trantham, FNP-C - Medicare Nurse Practitioner in Holbrook, AZ

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Edward Shane Trantham, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Holbrook, Arizona. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 2109 Navajo Blvd, Holbrook, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 524-2851.

Edward Shane Trantham is licensed to practice in Arizona (license number 219546) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043780349.

Contact Information

Edward Shane Trantham, FNP-C
2109 Navajo Blvd,
Holbrook, AZ 86025-1822
(928) 524-2851
Not Available

Map and Direction




Provider's Profile

Full NameEdward Shane Trantham
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location2109 Navajo Blvd, Holbrook, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edward Shane Trantham graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1043780349
  • Provider Enumeration Date: 11/29/2018
  • Last Update Date: 03/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860733573
  • Enrollment ID: I20190408000157

Medical Identifiers

Medical identifiers for Edward Shane Trantham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043780349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 219546 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Healthcare Regional Medical CenterShow low, AZHospital
Little Colorado Medical CenterWinslow, AZHospital

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. Edward Shane Trantham allows following entities to bill medicare on his behalf.
Entity NameEl Rio Santa Cruz Neighborhood Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487602736
PECOS PAC ID: 6305739244
Enrollment ID: O20040205000098

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. Edward Shane Trantham 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 AddressPractice Location Address
Edward Shane Trantham, FNP-C
Po Box 3630,
Flagstaff, AZ 86003-3630

Ph: Not Available		Edward Shane Trantham, FNP-C
2109 Navajo Blvd,
Holbrook, AZ 86025-1822

Ph: (928) 524-2851

Reviews and Comments


Nurse Practitioner Nurses in Holbrook, AZ

Karen Sue Scott, APRN-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2109 Navajo Blvd, Holbrook, AZ 86025
Phone: 928-524-2851    
Heber George Dutson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2109 Navajo Blvd, Holbrook, AZ 86025
Phone: 928-524-2851    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.