Shasta Treadway, PMHNP in Walton, NY - Medicare Nurse Practitioner

Shasta Treadway, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walton, New York. Her current practice location is 2 Titus Pl, Walton, New York. You can reach out to her office (for appointments etc.) via phone at (607) 865-2400.

Shasta Treadway is licensed to practice in New York (license number 404416) 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 1245953959.

Contact Information

	Shasta Treadway, PMHNP
	2 Titus Pl, Walton, NY 13856-1455
	(607) 865-2400
	(607) 865-7305

Map and Direction

Provider's Profile

Full Name	Shasta Treadway
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2 Titus Pl, Walton, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245953959
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1658749031
Enrollment ID: I20221115003019

Medical Identifiers

Medical identifiers for Shasta Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245953959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404416 (New York)	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. Shasta Treadway allows following entities to bill medicare on her behalf.

Entity Name	Delaware Valley Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144312646 PECOS PAC ID: 2860388337 Enrollment ID: O20040223001307

Entity Name	Delaware Valley Hospital Inc.
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1417940719 PECOS PAC ID: 2860388337 Enrollment ID: O20210611000846

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. Shasta Treadway 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
Shasta Treadway, PMHNP 1 Titus Pl, Walton, NY 13856-1457 Ph: () -	Shasta Treadway, PMHNP 2 Titus Pl, Walton, NY 13856-1455 Ph: (607) 865-2400

Reviews and Comments

Nurse Practitioner Nurses in Walton, NY

Stephanie Marie Dionne, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541
Nicholas Knibbs, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541 Fax: 607-865-9164
Mrs. Jennifer L Grigoli, PMHNP, DNS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 243 Delaware St, Walton, NY 13856 Phone: 604-832-5888
Patrick James Fitzpatrick, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400
Cynthia M Cantwell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Titus Place, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305
Emily Seymour, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400

Shasta Treadway, PMHNP - Medicare Nurse Practitioner in Walton, NY