Mrs Shanda Lynne Petty, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sunset, Texas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Epic Heart And Vascular Care Pllc and her current practice location is
2046 County Road 1790, Sunset, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 255-6009.
Mrs Shanda Lynne Petty is licensed to practice in Texas (license number F08220790) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013668037.
Provider's Profile
| Full Name | Mrs Shanda Lynne Petty |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 2046 County Road 1790, Sunset, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Shanda Lynne Petty graduated from nursing school in 2016
NPI Data:
- NPI Number: 1013668037
- Provider Enumeration Date: 01/11/2022
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507241338
- Enrollment ID: I20220915000682
Medical Identifiers
Medical identifiers for Mrs Shanda Lynne Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013668037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F08220790 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Epic Heart And Vascular Care Pllc | 9234553454 | 3 |
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. Mrs Shanda Lynne Petty allows following entities to bill medicare on her behalf.
| Entity Name | Epic Heart And Vascular Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679198659
PECOS PAC ID: 9234553454
Enrollment ID: O20200721003385 |
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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. Mrs Shanda Lynne Petty 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 |
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Mrs Shanda Lynne Petty, MSN, APRN, FNP-C
2046 County Road 1790,
Sunset, TX 76270-5331
Ph: (940) 255-6009 | Mrs Shanda Lynne Petty, MSN, APRN, FNP-C
2046 County Road 1790,
Sunset, TX 76270-5331
Ph: (940) 255-6009 |
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