Shannon Deann Glaze, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Shannon Deann Glaze, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Birmingham, Alabama. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospital Physician Services - Southeast Professional Corporation and her current practice location is 810 Saint Vincents Dr, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 939-7000.

Shannon Deann Glaze is licensed to practice in Alabama (license number 1-122307) 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 1568961811.

Contact Information

	Shannon Deann Glaze, CRNP
	810 Saint Vincents Dr, Birmingham, AL 35205-1601
	(205) 939-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Deann Glaze
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	810 Saint Vincents Dr, Birmingham, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Deann Glaze graduated from nursing school in 2014

NPI Data:

NPI Number: 1568961811
Provider Enumeration Date: 02/01/2018
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7214281005
Enrollment ID: I20181114001433

Medical Identifiers

Medical identifiers for Shannon Deann Glaze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568961811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-122307 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Citizens Baptist Medical Center	Talladega, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospital Physician Services - Southeast Professional Corporation	5597774554	662

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. Shannon Deann Glaze allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Hospital Medicine Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20061002000335

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913

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. Shannon Deann Glaze 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
Shannon Deann Glaze, CRNP 5713 Summer Place Pkwy, Hoover, AL 35244-6005 Ph: (205) 447-4863	Shannon Deann Glaze, CRNP 810 Saint Vincents Dr, Birmingham, AL 35205-1601 Ph: (205) 939-7000

Reviews and Comments

Nurse Practitioner Nurses in Birmingham, AL

Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681
Ms. Carly Rae Hawkins, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9285 Fax: 205-975-1941
Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445
Anyet Belyeu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918
Jessica Cha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816

Shannon Deann Glaze, CRNP - Medicare Nurse Practitioner in Birmingham, AL