Shannon Miller Ullman, APRN-CNP in Clarksburg, WV

Shannon Miller Ullman, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Clarksburg, West Virginia. Her current practice location is 489 Washington Ave, Clarksburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 622-2708.

Shannon Miller Ullman is licensed to practice in West Virginia (license number 106952) 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 1871102277.

Contact Information

	Shannon Miller Ullman, APRN-CNP
	489 Washington Ave, Clarksburg, WV 26301-2825
	(304) 622-2708
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Miller Ullman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	489 Washington Ave, Clarksburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871102277
Provider Enumeration Date: 07/31/2020
Last Update Date: 09/10/2020

Medicare PECOS Information:

PECOS PAC ID: 6406217785
Enrollment ID: I20230802004055

Medical Identifiers

Medical identifiers for Shannon Miller Ullman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871102277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	106952 (West Virginia)	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. Shannon Miller Ullman allows following entities to bill medicare on her behalf.

Entity Name	Camden-clark Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570

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 Miller Ullman 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 Miller Ullman, APRN-CNP 13 Eastern Trl, Morgantown, WV 26508-5991 Ph: (845) 863-5504	Shannon Miller Ullman, APRN-CNP 489 Washington Ave, Clarksburg, WV 26301-2825 Ph: (304) 622-2708

Reviews and Comments

Nurse Practitioner Nurses in Clarksburg, WV

Mrs. Anna Besedich, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Med Center Dr, Clarksburg, WV 26301 Phone: 304-623-3461
Mr. Fred Jay Frazier Iii, APRN,PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Hospital Plz, Clarksburg, WV 26301 Phone: 304-969-3100
Antoinette R Marascio, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Hospital Plz, Clarksburg, WV 26301 Phone: 304-624-2960
Seth Michael Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-623-6330 Fax: 304-623-6220
Diana Lynn Cooper, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-623-6330
Roxanne Yong Smart, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-623-6330 Fax: 304-623-6220
Jonathan Moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Ctr. Drive, Clarksburg, WV 26301 Phone: 304-623-3461

Shannon Miller Ullman, APRN-CNP - Medicare Nurse Practitioner in Clarksburg, WV