Shane Wriston, PA-C is a medicare enrolled "Physician Assistant - Medical" in Ivydale, West Virginia. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Community Care Of West Virginia, Inc. and his current practice location is
797 Clinic Dr, Ivydale, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 286-4200.
Shane Wriston is licensed to practice in West Virginia (license number 01845) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609277201.
Provider's Profile
| Full Name | Shane Wriston |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 797 Clinic Dr, Ivydale, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shane Wriston graduated from nursing school in 2013
NPI Data:
- NPI Number: 1609277201
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426371733
- Enrollment ID: I20141217001860
Medical Identifiers
Medical identifiers for Shane Wriston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609277201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 01845 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Care Of West Virginia, Inc. | 0446232987 | 89 |
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 Wriston allows following entities to bill medicare on his behalf.
| Entity Name | Community Care of West Virginia, Inc. |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1164653457
PECOS PAC ID: 0446232987
Enrollment ID: O20071024000166 |
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| Entity Name | WV Asthma and Allergy Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205011509
PECOS PAC ID: 8527137728
Enrollment ID: O20080514000183 |
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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 Wriston 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 |
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Shane Wriston, PA-C
797 Clinic Dr,
Ivydale, WV 25113-8263
Ph: (304) 286-4200 | Shane Wriston, PA-C
797 Clinic Dr,
Ivydale, WV 25113-8263
Ph: (304) 286-4200 |
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