Mrs Shannon N Amacker, FNP in Clinton, LA - Medicare Nurse Practitioner

Mrs Shannon N Amacker, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Louisiana. Her current practice location is 11990 Jackson St, Clinton, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 683-5292.

Mrs Shannon N Amacker is licensed to practice in Louisiana (license number AP05954) 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 1154646388.

Contact Information

	Mrs Shannon N Amacker, FNP
	11990 Jackson St, Clinton, LA 70722-3210
	(225) 683-5292
	(225) 683-1310

Map and Direction

Provider's Profile

Full Name	Mrs Shannon N Amacker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11990 Jackson St, Clinton, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154646388
Provider Enumeration Date: 03/31/2010
Last Update Date: 02/14/2019

Medicare PECOS Information:

PECOS PAC ID: 0648457770
Enrollment ID: I20110526000757

Medical Identifiers

Medical identifiers for Mrs Shannon N Amacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154646388	NPI	-	NPPES
2143671	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP05954 (Louisiana)	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 Shannon N Amacker allows following entities to bill medicare on her behalf.

Entity Name	Southeast Community Health Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023147113 PECOS PAC ID: 4284610437 Enrollment ID: O20050124000119

Entity Name	Southeast Community Health Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366617367 PECOS PAC ID: 4284610437 Enrollment ID: O20120808000592

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 Shannon N Amacker 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 Shannon N Amacker, FNP Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292	Mrs Shannon N Amacker, FNP 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292

Reviews and Comments

Nurse Practitioner Nurses in Clinton, LA

Mrs. Lisa Hawkins Sorrel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11323 Church St, Clinton, LA 70722 Phone: 225-683-3377 Fax: 225-683-3370
Shenita L Paynes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10701 Reiley St, Clinton, LA 70722 Phone: 225-683-1350 Fax: 225-683-1359
Mrs. Kelly Bankston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292
Karra Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310
Chantel N Wiley, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10410 Plank Rd, Clinton, LA 70722 Phone: 225-683-8877 Fax: 225-683-1349
Mrs. Darie S. Gilliam, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411

Mrs Shannon N Amacker, FNP - Medicare Nurse Practitioner in Clinton, LA