Shanna Stivers Dave, APRN-CNP PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bedford, Kentucky. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice First You Medical Center Pllc and her current practice location is
18 Alexander Ave Unit 1, Bedford, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 255-0222.
Shanna Stivers Dave is licensed to practice in Kentucky (license number 4027554) 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 1598591075.
Provider's Profile
| Full Name | Shanna Stivers Dave |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 18 Alexander Ave Unit 1, Bedford, Kentucky |
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| Accepts Medicare Assignments | Yes. She 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:
- Shanna Stivers Dave graduated from nursing school in 2024
NPI Data:
- NPI Number: 1598591075
- Provider Enumeration Date: 09/11/2024
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941500755
- Enrollment ID: I20241115003571
Medical Identifiers
Medical identifiers for Shanna Stivers Dave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598591075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4027554 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| First You Medical Center Pllc | 4688572464 | 3 |
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. Shanna Stivers Dave allows following entities to bill medicare on her behalf.
| Entity Name | First You Medical Center Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841397056
PECOS PAC ID: 4688572464
Enrollment ID: O20130725000332 |
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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. Shanna Stivers Dave 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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Shanna Stivers Dave, APRN-CNP PMHNP-BC
Po Box 124,
Eminence, KY 40019-0124
Ph: (502) 593-0083 | Shanna Stivers Dave, APRN-CNP PMHNP-BC
18 Alexander Ave Unit 1,
Bedford, KY 40006-1114
Ph: (502) 255-0222 |
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