Shawna Cribb, is a medicare enrolled "Nurse Practitioner - Family" in Chula, Georgia. Her current practice location is
126 S Access Rd, Chula, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 520-3052.
Shawna Cribb is licensed to practice in Georgia (license number RN236603) 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 1124780721.
Provider's Profile
| Full Name | Shawna Cribb |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 126 S Access Rd, Chula, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124780721
- Provider Enumeration Date: 10/11/2021
- Last Update Date: 04/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476945866
- Enrollment ID: I20220114001044
Medical Identifiers
Medical identifiers for Shawna Cribb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124780721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | RN236603 (Georgia) | 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. Shawna Cribb allows following entities to bill medicare on her behalf.
| Entity Name | Rural Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001 |
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| Entity Name | Homestead Hospice Of South Georgia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811635253 PECOS PAC ID: 8022372549 Enrollment ID: O20220722002642 |
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| Entity Name | South Georgia Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144096553 PECOS PAC ID: 1052764677 Enrollment ID: O20240514000755 |
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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. Shawna Cribb 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 |
Shawna Cribb, 126 S Access Rd, Chula, GA 31733-4204 Ph: (229) 520-3052 | Shawna Cribb, 126 S Access Rd, Chula, GA 31733-4204 Ph: (229) 520-3052 |
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