Matthew John Shullick, FNP-BC in Newberry, MI

Matthew John Shullick, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Newberry, Michigan. His current practice location is 3001 Newberry Ave, Newberry, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 293-6200.

Matthew John Shullick is licensed to practice in Michigan (license number 4704277940) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912246513.

Contact Information

	Matthew John Shullick, FNP-BC
	3001 Newberry Ave, Newberry, MI 49868-1340
	(906) 293-6200
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew John Shullick
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3001 Newberry Ave, Newberry, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912246513
Provider Enumeration Date: 02/04/2013
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5395989735
Enrollment ID: I20130925000119

Medical Identifiers

Medical identifiers for Matthew John Shullick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912246513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704277940 (Michigan)	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. Matthew John Shullick allows following entities to bill medicare on his behalf.

Entity Name	Kalkaska Memorial Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668

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. Matthew John Shullick 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
Matthew John Shullick, FNP-BC 3001 Newberry Ave, Newberry, MI 49868-1340 Ph: (906) 293-6200	Matthew John Shullick, FNP-BC 3001 Newberry Ave, Newberry, MI 49868-1340 Ph: (906) 293-6200

Reviews and Comments

Nurse Practitioner Nurses in Newberry, MI

Morgan Gelinas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200
Krista Groll, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9233 Fax: 906-293-9285
Danette Lynn Martyn, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7913 County Road 385, Newberry, MI 49868 Phone: 906-322-1806
Brook Lynn Dake, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200
Carol A Norman, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Harrie St, Newberry, MI 49868 Phone: 906-293-9200 Fax: 906-586-3264

Matthew John Shullick, FNP-BC - Medicare Nurse Practitioner in Newberry, MI