Paseo Shatelle Douglas, NP - Medicare Nurse Practitioner in Florence, SC

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Paseo Shatelle Douglas, NP is a medicare enrolled "Nurse Practitioner - Family" in Florence, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Palm Grove Regional Health Llc and her current practice location is 2200 S Irby St, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 662-9945.

Paseo Shatelle Douglas is licensed to practice in South Carolina (license number 23045) 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 1972155471.

Contact Information

Paseo Shatelle Douglas, NP
2200 S Irby St,
Florence, SC 29505-3423
(843) 662-9945
Not Available

Map and Direction




Provider's Profile

Full NamePaseo Shatelle Douglas
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2200 S Irby St, Florence, South Carolina
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:
  • Paseo Shatelle Douglas attended and graduated from University Of South Carolina School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1972155471
  • Provider Enumeration Date: 07/15/2019
  • Last Update Date: 09/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618204546
  • Enrollment ID: I20190814003298

Medical Identifiers

Medical identifiers for Paseo Shatelle Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972155471NPI-NPPES
23045OtherSCSC LICENSING BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23045 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Health CherawCheraw, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palm Grove Regional Health Llc35779061712

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. Paseo Shatelle Douglas allows following entities to bill medicare on her behalf.
Entity NamePalmetto Family Medicine Of Chesterfield County, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932291242
PECOS PAC ID: 7012807860
Enrollment ID: O20040317000184
Entity NameLowcountry Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326364100
PECOS PAC ID: 9739210337
Enrollment ID: O20100625000517
Entity NamePalm Grove Regional Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043084817
PECOS PAC ID: 3577906171
Enrollment ID: O20240212000797

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. Paseo Shatelle Douglas 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
Paseo Shatelle Douglas, NP
2200 S Irby St,
Florence, SC 29505-3423

Ph: (843) 662-9945		Paseo Shatelle Douglas, NP
2200 S Irby St,
Florence, SC 29505-3423

Ph: (843) 662-9945

Reviews and Comments


Nurse Practitioner Nurses in Florence, SC

Mrs. Callie Hanson Carpenter, F.N.P
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Medicare: Not Enrolled in Medicare
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-2000    
Jennifer Lucas Reid, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 214 W Pine St, Florence, SC 29501
Phone: 843-661-0500    Fax: 436-617-3708
Christy Mcwhite,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 E Cheves St, Florence, SC 29506
Phone: 843-661-4835    
Betty Gattison, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1100 E Cheves St, Florence, SC 29506
Phone: 843-669-6694    
Theressa L Garris, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 204 E Cheves St, Florence, SC 29506
Phone: 843-777-7601    Fax: 843-662-2474
Michelle D Poston, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 360 N Irby St, Florence, SC 29501
Phone: 843-667-9414    Fax: 843-667-1362
Ms. Janet Bennett, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 805 Pamplico Hwy, Florence, SC 29505
Phone: 843-674-2500    

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.