Mr Shane Ian Becker, ARNP - Medicare Nurse Practitioner in Ormond Beach, FL

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Mr Shane Ian Becker, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Ormond Beach, Florida. His current practice location is 33 Capistrano Dr, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 924-3005.

Mr Shane Ian Becker is licensed to practice in Florida (license number APRN11020760) 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 1427350743.

Contact Information

Mr Shane Ian Becker, ARNP
33 Capistrano Dr,
Ormond Beach, FL 32176-2105
(407) 924-3005
Not Available

Map and Direction




Provider's Profile

Full NameMr Shane Ian Becker
GenderMale
SpecialityNurse Practitioner - Family
Location33 Capistrano Dr, Ormond Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427350743
  • Provider Enumeration Date: 11/18/2010
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294104683
  • Enrollment ID: I20221207000055

Medical Identifiers

Medical identifiers for Mr Shane Ian Becker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427350743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11020760 (Florida)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. Mr Shane Ian Becker allows following entities to bill medicare on his behalf.
Entity NameCentral Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164694683
PECOS PAC ID: 7911077961
Enrollment ID: O20080602000905
Entity NameYadkin Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417443771
PECOS PAC ID: 3173875127
Enrollment ID: O20181003000297
Entity NamePiedmont Triad Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295206464
PECOS PAC ID: 6406197334
Enrollment ID: O20190403000344
Entity NameKernersville Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750852034
PECOS PAC ID: 3375885429
Enrollment ID: O20190422001205
Entity NameTanglewood Park Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093286379
PECOS PAC ID: 3476895129
Enrollment ID: O20190429001041

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 Shane Ian Becker 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
Mr Shane Ian Becker, ARNP
33 Capistrano Dr,
Ormond Beach, FL 32176-2105

Ph: (407) 924-3005		Mr Shane Ian Becker, ARNP
33 Capistrano Dr,
Ormond Beach, FL 32176-2105

Ph: (407) 924-3005

Reviews and Comments


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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).

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