Shannon Wiles, APRN is a medicare enrolled "Nurse Practitioner - Family" in Willisburg, Kentucky. Her current practice location is
2084 Main St, Willisburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 375-9200.
Shannon Wiles is licensed to practice in Kentucky (license number 3011177) 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 1982145975.
Provider's Profile
| Full Name | Shannon Wiles |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2084 Main St, Willisburg, Kentucky |
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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: 1982145975
- Provider Enumeration Date: 03/10/2017
- Last Update Date: 03/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567739329
- Enrollment ID: I20170526000174
Medical Identifiers
Medical identifiers for Shannon Wiles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982145975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3011177 (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. Shannon Wiles allows following entities to bill medicare on her behalf.
| Entity Name | Ephraim Mcdowell Regional Medical Center Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316141351
PECOS PAC ID: 3375506447
Enrollment ID: O20041109001051 |
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| Entity Name | 24 On Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679522346
PECOS PAC ID: 5698688141
Enrollment ID: O20061012000513 |
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| Entity Name | Isaiah House Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396086559
PECOS PAC ID: 7113262163
Enrollment ID: O20181219000602 |
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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. Shannon Wiles 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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Shannon Wiles, APRN
2084 Main St,
Willisburg, KY 40078-8199
Ph: (859) 375-9200 | Shannon Wiles, APRN
2084 Main St,
Willisburg, KY 40078-8199
Ph: (859) 375-9200 |
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