Mrs Shannon Nichole Hewitt, NP-C in Travis Afb, CA

Mrs Shannon Nichole Hewitt, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Travis Afb, California. Her current practice location is 60 Mdg/sgic, 101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-3964.

Mrs Shannon Nichole Hewitt is licensed to practice in California (license number 95001639) 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 1821413873.

Contact Information

	Mrs Shannon Nichole Hewitt, NP-C
	60 Mdg/sgic, 101 Bodin Cir, Travis Afb, CA 94535-1800
	(707) 423-3964
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Nichole Hewitt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	60 Mdg/sgic, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821413873
Provider Enumeration Date: 02/27/2014
Last Update Date: 04/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7214110451
Enrollment ID: I20210901003642

Medical Identifiers

Medical identifiers for Mrs Shannon Nichole Hewitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821413873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95001639 (California)	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 Nichole Hewitt allows following entities to bill medicare on her behalf.

Entity Name	The Queens Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366

Entity Name	Queens University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534

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 Nichole Hewitt 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 Nichole Hewitt, NP-C 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3964	Mrs Shannon Nichole Hewitt, NP-C 60 Mdg/sgic, 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (707) 423-3964

Reviews and Comments

Nurse Practitioner Nurses in Travis Afb, CA

Yardana Gill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894
Zlatoslava Karga, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311
Miss Roshani Subedi, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5447
Mr. Laban Kipkurui Tabartet, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Mr. Robert Mike Heil, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-432-8532

Mrs Shannon Nichole Hewitt, NP-C - Medicare Nurse Practitioner in Travis Afb, CA