Dr Shanna Renee Fraser, PHD, RN, ACNS-BC is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Marion, Texas. Her current practice location is
3323 Ashleys Way, Marion, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 452-3713.
Dr Shanna Renee Fraser is licensed to practice in Texas (license number AP124931) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316451594.
Provider's Profile
| Full Name | Dr Shanna Renee Fraser |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 3323 Ashleys Way, Marion, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316451594
- Provider Enumeration Date: 11/27/2017
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173949609
- Enrollment ID: I20200814001272
Medical Identifiers
Medical identifiers for Dr Shanna Renee Fraser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316451594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | AP124931 (Texas) | 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. Dr Shanna Renee Fraser allows following entities to bill medicare on her behalf.
| Entity Name | Permian Premier Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285664763
PECOS PAC ID: 8426051293
Enrollment ID: O20060816000446 |
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| Entity Name | Global Open Wound Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720701659
PECOS PAC ID: 8921475294
Enrollment ID: O20221031001886 |
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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. Dr Shanna Renee Fraser 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 |
|---|
Dr Shanna Renee Fraser, PHD, RN, ACNS-BC
Po Box 312572,
New Braunfels, TX 78131-2572
Ph: (210) 452-3713 | Dr Shanna Renee Fraser, PHD, RN, ACNS-BC
3323 Ashleys Way,
Marion, TX 78124-1376
Ph: (210) 452-3713 |
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