Shawnee Lynn Kellison, RNBCFNP in Kirksville, MO

Shawnee Lynn Kellison, RNBCFNP is a medicare enrolled "Registered Nurse - General Practice" in Kirksville, Missouri. Her current practice location is 700 W Jefferson St, Kirksville, Missouri. You can reach out to her office (for appointments etc.) via phone at (660) 626-2191.

Shawnee Lynn Kellison is licensed to practice in Missouri (license number 113721) 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 1063495463.

Contact Information

	Shawnee Lynn Kellison, RNBCFNP
	700 W Jefferson St, Kirksville, MO 63501-1441
	(660) 626-2191
	(660) 626-2396

Map and Direction

Provider's Profile

Full Name	Shawnee Lynn Kellison
Gender	Female
Speciality	Registered Nurse - General Practice
Location	700 W Jefferson St, Kirksville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063495463
Provider Enumeration Date: 11/21/2005
Last Update Date: 01/21/2008

Medicare PECOS Information:

PECOS PAC ID: 8325053531
Enrollment ID: I20060209000168

Medical Identifiers

Medical identifiers for Shawnee Lynn Kellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063495463	NPI	-	NPPES
501218200	Other	MO	MEDICAID GROUP #
428713812	Medicaid	MO
DG4290	Other	MO	RAILROAD MEDICARE GROUP #
000014853	Other		MEDICARE GROUP #
P00435145	Other	MO	RAILROAD MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	113721 (Missouri)	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. Shawnee Lynn Kellison allows following entities to bill medicare on her behalf.

Entity Name	Putnam County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609870195 PECOS PAC ID: 7911915327 Enrollment ID: O20060327000726

Entity Name	Putnam County Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1609870195 PECOS PAC ID: 7911915327 Enrollment ID: O20100205000711

Entity Name	Kirksville Specialty Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386126308 PECOS PAC ID: 3476983370 Enrollment ID: O20200416001776

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. Shawnee Lynn Kellison 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
Shawnee Lynn Kellison, RNBCFNP 700 W Jefferson St, Po Box 7545, Kirksville, MO 63501-1441 Ph: (660) 626-2191	Shawnee Lynn Kellison, RNBCFNP 700 W Jefferson St, Kirksville, MO 63501-1441 Ph: (660) 626-2191

Reviews and Comments

Registered Nurse Nurses in Kirksville, MO

Heidi B Henderson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1101 Jamison St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-627-0642
Sarah Rimer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1101 Jamison St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-627-0642
Ann Marie Bibbs, MSN, RN, NP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1611 S Baltimore St Ste A, Kirksville, MO 63501 Phone: 660-665-7575 Fax: 660-665-7576
Francine Lee, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1101 Jamison St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-627-0642
Courtney R Nichols, NP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1611 S Baltimore St Ste A, Kirksville, MO 63501 Phone: 660-665-7575 Fax: 660-665-7576
Kathy Rogers, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-665-1962

Shawnee Lynn Kellison, RNBCFNP - Medicare Registered Nurse in Kirksville, MO