Shanna Stivers Dave, APRN-CNP PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bedford, Kentucky. 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 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 1598591075.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Shanna Stivers Dave | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
|---|
| Location | 18 Alexander Ave Unit 1, Bedford, Kentucky | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  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 | 
|---|
		| 1598591075 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4027554 (Kentucky) | 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. Shanna Stivers Dave allows following entities to bill medicare on her behalf.
| Entity Name | First You Medical Center Pllc | 
|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
|---|
| Entity Identifiers | NPI Number: 1841397056 PECOS PAC ID: 4688572464
 Enrollment ID: O20130725000332
 | 
|---|
		 
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 | 
|---|
		| 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
 | 
		
		 
Reviews and Comments