Shane Louis Pennison, APRN, FNP-C in Winnfield, LA

Shane Louis Pennison, APRN, FNP-C is a medicare enrolled "Nurse Practitioner" in Winnfield, Louisiana. His current practice location is 431 W Lafayette St, Winnfield, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 648-0375.

Shane Louis Pennison is licensed to practice in Louisiana (license number 225854) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063142412.

Contact Information

	Shane Louis Pennison, APRN, FNP-C
	431 W Lafayette St, Winnfield, LA 71483-3463
	(318) 648-0375
	Not Available

Map and Direction

Provider's Profile

Full Name	Shane Louis Pennison
Gender	Male
Speciality	Nurse Practitioner
Location	431 W Lafayette St, Winnfield, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063142412
Provider Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 7719368745
Enrollment ID: I20220721001490

Medical Identifiers

Medical identifiers for Shane Louis Pennison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063142412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	225854 (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. Shane Louis Pennison allows following entities to bill medicare on his behalf.

Entity Name	Winn Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491

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. Shane Louis Pennison 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
Shane Louis Pennison, APRN, FNP-C Po Box 68, Dry Prong, LA 71423-0068 Ph: (318) 447-5305	Shane Louis Pennison, APRN, FNP-C 431 W Lafayette St, Winnfield, LA 71483-3463 Ph: (318) 648-0375

Reviews and Comments

Nurse Practitioner Nurses in Winnfield, LA

Delinda Cockerham, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Gum Springs Road, Winnfield, LA 71483 Phone: 318-628-3971
Jamie Golemon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 Fax: 318-648-0378
Mrs. Amanda Gammel James, PCPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375
Sylvia Denise Powell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Gum Springs Road, Winnfield, LA 71483 Phone: 318-628-3971
Mrs. Angela Nicole Thorn, CPNP-PN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 609 W Court St Ste B, Winnfield, LA 71483 Phone: 318-209-4646 Fax: 318-209-4649
Mrs. Jennifer Mcclure Campbell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375

Shane Louis Pennison, APRN, FNP-C - Medicare Nurse Practitioner in Winnfield, LA