Mrs Shelia A Sancillo Tice, CFNP - Medicare Nurse Practitioner in New Albany, MS

Mrs Shelia A Sancillo Tice, CFNP is a medicare enrolled "Nurse Practitioner - Primary Care" in New Albany, Mississippi. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Friendship Medical Clinic Llc and her current practice location is 456 W Bankhead St, New Albany, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 534-8780.

Mrs Shelia A Sancillo Tice is licensed to practice in Mississippi (license number R857901) 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 1255617973.

Contact Information

Mrs Shelia A Sancillo Tice, CFNP
456 W Bankhead St,
New Albany, MS 38652-3319
(662) 534-8780
(662) 314-8577

Map and Direction




Provider's Profile

Full NameMrs Shelia A Sancillo Tice
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location456 W Bankhead St, New Albany, Mississippi
Accepts Medicare AssignmentsYes. 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 Shelia A Sancillo Tice graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1255617973
  • Provider Enumeration Date: 10/26/2011
  • Last Update Date: 12/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2860667490
  • Enrollment ID: I20111209000679

Medical Identifiers

Medical identifiers for Mrs Shelia A Sancillo Tice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255617973NPI-NPPES
01484713MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care R857901 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Hospital Union CountyNew albany, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Friendship Medical Clinic Llc06482750246

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 Shelia A Sancillo Tice allows following entities to bill medicare on her behalf.
Entity NameFriendship Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586273
PECOS PAC ID: 0648275024
Enrollment ID: O20060918000250

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 Shelia A Sancillo Tice 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 AddressPractice Location Address
Mrs Shelia A Sancillo Tice, CFNP
456 W Bankhead St,
New Albany, MS 38652-3319

Ph: (662) 534-8780
Mrs Shelia A Sancillo Tice, CFNP
456 W Bankhead St,
New Albany, MS 38652-3319

Ph: (662) 534-8780

Reviews and Comments


Nurse Practitioner Nurses in New Albany, MS

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Phone: 662-534-8166    Fax: 662-534-8132
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Phone: 662-534-9042    Fax: 662-534-9707

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.