Mrs Shanna B Peterson, FNP in Erwin, TN - Medicare Nurse Practitioner

Mrs Shanna B Peterson, FNP is a medicare enrolled "Nurse Practitioner" in Erwin, Tennessee. Her current practice location is 1201 N Main Ave, Suite 3, Erwin, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 743-3440.

Mrs Shanna B Peterson is licensed to practice in Tennessee (license number APN11999) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295781045.

Contact Information

	Mrs Shanna B Peterson, FNP
	1201 N Main Ave, Suite 3, Erwin, TN 37650-9102
	(423) 743-3440
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shanna B Peterson
Gender	Female
Speciality	Nurse Practitioner
Location	1201 N Main Ave, Erwin, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295781045
Provider Enumeration Date: 05/25/2006
Last Update Date: 10/21/2011

Medicare PECOS Information:

PECOS PAC ID: 0143226134
Enrollment ID: I20061016000122

Medical Identifiers

Medical identifiers for Mrs Shanna B Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295781045	NPI	-	NPPES
4131091	Other	TN	BCBST
3643493	Medicaid	TN
4131091	Other	TN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN11999 (Tennessee)	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. Mrs Shanna B Peterson allows following entities to bill medicare on her behalf.

Entity Name	Peterson Family Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225345275 PECOS PAC ID: 8426245796 Enrollment ID: O20101213000607

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 Shanna B Peterson 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
Mrs Shanna B Peterson, FNP Po Box 716, Erwin, TN 37650-0716 Ph: (423) 743-3440	Mrs Shanna B Peterson, FNP 1201 N Main Ave, Suite 3, Erwin, TN 37650-9102 Ph: (423) 743-3440

Reviews and Comments

Nurse Practitioner Nurses in Erwin, TN

Casandra Reyes Arellano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 631 Sinasta Dr Ste 3, Erwin, TN 37650 Phone: 423-735-9585
Mrs. Phyllis C Fisher, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1826 N Main Ave, Erwin, TN 37650 Phone: 423-743-6135 Fax: 423-743-0035
Carla Denise Duncan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 631 Sinasta Dr Ste 3, Erwin, TN 37650 Phone: 423-735-9585
Suzonne S Swihart, RN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 North Main Avenue, Erwin, TN 37650 Phone: 423-743-9176 Fax: 423-743-0860
Mrs. Victoria Lynn Osborne, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Gay St, Erwin, TN 37650 Phone: 423-743-6141 Fax: 423-743-1083
Laura Kay Berry, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Love St, Erwin, TN 37650 Phone: 423-735-4160

Mrs Shanna B Peterson, FNP - Medicare Nurse Practitioner in Erwin, TN