Mr Samuel Chase Shoptaw I, APRN, FNP-C in Louisville, KY

Mr Samuel Chase Shoptaw I, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. He went to University Of Cincinnati College Of Medicine and graduated in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Baptist Health Medical Group Inc, Pt Pros, Inc, Baptist Health Medical Group Inc and his current practice location is 3900 Kresge Way Ste 51, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 899-3623.

Mr Samuel Chase Shoptaw I is licensed to practice in Kentucky (license number 3018689) 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 1245949239.

Contact Information

	Mr Samuel Chase Shoptaw I, APRN, FNP-C
	3900 Kresge Way Ste 51, Louisville, KY 40207-4683
	(502) 899-3623
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Chase Shoptaw I
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	3900 Kresge Way Ste 51, Louisville, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Samuel Chase Shoptaw I attended and graduated from University Of Cincinnati College Of Medicine in 2022

NPI Data:

NPI Number: 1245949239
Provider Enumeration Date: 11/17/2022
Last Update Date: 11/17/2022

Medicare PECOS Information:

PECOS PAC ID: 1759752561
Enrollment ID: I20230113000853

Medical Identifiers

Medical identifiers for Mr Samuel Chase Shoptaw I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245949239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3018689 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Louisville	Louisville, KY	Hospital
Baptist Health Floyd	New albany, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Health Medical Group Inc	5597867184	2132
Pt Pros, Inc	0143139337	218
Baptist Health Medical Group Inc	5597867184	2132

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. Mr Samuel Chase Shoptaw I allows following entities to bill medicare on his behalf.

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503

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. Mr Samuel Chase Shoptaw I 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
Mr Samuel Chase Shoptaw I, APRN, FNP-C 409 Captain Frank Rd, New Albany, IN 47150-5047 Ph: (502) 435-9542	Mr Samuel Chase Shoptaw I, APRN, FNP-C 3900 Kresge Way Ste 51, Louisville, KY 40207-4683 Ph: (502) 899-3623

Reviews and Comments

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Mr Samuel Chase Shoptaw I, APRN, FNP-C - Medicare Nurse Practitioner in Louisville, KY