Mrs Shantelle Nicolle Breeze, AGNP in Greensboro, NC

Mrs Shantelle Nicolle Breeze, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Greensboro, North Carolina. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Central Carolina Kidney Associates Pa and her current practice location is 203 Pomona Dr, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 282-0132.

Mrs Shantelle Nicolle Breeze is licensed to practice in North Carolina (license number BREE-0E05L) 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 1124612452.

Contact Information

	Mrs Shantelle Nicolle Breeze, AGNP
	203 Pomona Dr, Greensboro, NC 27407-1619
	(336) 282-0132
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shantelle Nicolle Breeze
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	203 Pomona Dr, Greensboro, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shantelle Nicolle Breeze graduated from nursing school in 2020

NPI Data:

NPI Number: 1124612452
Provider Enumeration Date: 02/26/2021
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 8426466624
Enrollment ID: I20210427001807

Medical Identifiers

Medical identifiers for Mrs Shantelle Nicolle Breeze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124612452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	BREE-0E05L (North Carolina)	Primary
163WM0705X	Registered Nurse - Medical-surgical	264125 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alamance Regional Medical Center	Burlington, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Carolina Kidney Associates Pa	8729130711	9

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 Shantelle Nicolle Breeze allows following entities to bill medicare on her behalf.

Entity Name	Central Carolina Kidney Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356582506 PECOS PAC ID: 8729130711 Enrollment ID: O20090722000673

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 Shantelle Nicolle Breeze 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 Shantelle Nicolle Breeze, AGNP 203 Pomona Dr, Greensboro, NC 27407-1619 Ph: (336) 282-0132	Mrs Shantelle Nicolle Breeze, AGNP 203 Pomona Dr, Greensboro, NC 27407-1619 Ph: (336) 282-0132

Reviews and Comments

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Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave Ste 311, Greensboro, NC 27401 Phone: 336-272-6161
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Mr. Joshua Lee Mcdaniel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 N Church St Ste 200, Greensboro, NC 27401 Phone: 336-272-4578
Lindsi Ahearn, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Pisgah Church Rd, Greensboro, NC 27455 Phone: 336-716-9150
Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731

Mrs Shantelle Nicolle Breeze, AGNP - Medicare Nurse Practitioner in Greensboro, NC