Mr Shawn Lewis Fountain Jr, FNP-C - Medicare Nurse Practitioner in Charlotte, NC

Mr Shawn Lewis Fountain Jr, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. His current practice location is 1614 South Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 338-1268.

Mr Shawn Lewis Fountain Jr is licensed to practice in North Carolina (license number 5018771) 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 1033995998.

Contact Information

Mr Shawn Lewis Fountain Jr, FNP-C
1614 South Blvd,
Charlotte, NC 28203-4726
(704) 338-1268
Not Available

Map and Direction




Provider's Profile

Full NameMr Shawn Lewis Fountain Jr
GenderMale
SpecialityNurse Practitioner - Family
Location1614 South Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033995998
  • Provider Enumeration Date: 09/06/2023
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517313059
  • Enrollment ID: I20231019002742

Medical Identifiers

Medical identifiers for Mr Shawn Lewis Fountain Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033995998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5018771 (North Carolina)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 Shawn Lewis Fountain Jr allows following entities to bill medicare on his behalf.
Entity NameAmerican Current Care Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306015102
PECOS PAC ID: 8426196098
Enrollment ID: O20091119000309

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 Shawn Lewis Fountain Jr 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 Shawn Lewis Fountain Jr, FNP-C
1614 South Blvd,
Charlotte, NC 28203-4726

Ph: (704) 338-1268
Mr Shawn Lewis Fountain Jr, FNP-C
1614 South Blvd,
Charlotte, NC 28203-4726

Ph: (704) 338-1268

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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