Shaylyn Proulx, CRPN in Edgewater, MD - Medicare Nurse Practitioner

Shaylyn Proulx, CRPN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Edgewater, Maryland. Her current practice location is 224 Mayo Rd Ste A, Edgewater, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 956-6302.

Shaylyn Proulx is licensed to practice in Maryland (license number R255619) 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 1467058362.

Contact Information

	Shaylyn Proulx, CRPN
	224 Mayo Rd Ste A, Edgewater, MD 21037-2951
	(410) 956-6302
	Not Available

Map and Direction

Provider's Profile

Full Name	Shaylyn Proulx
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	224 Mayo Rd Ste A, Edgewater, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467058362
Provider Enumeration Date: 12/07/2020
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7810304755
Enrollment ID: I20210322000923

Medical Identifiers

Medical identifiers for Shaylyn Proulx such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467058362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R255619 (Maryland)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	R255619 (Maryland)	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. Shaylyn Proulx allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Shaylyn Proulx 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
Shaylyn Proulx, CRPN 224 Mayo Rd Ste A, Edgewater, MD 21037-2951 Ph: (410) 956-6302	Shaylyn Proulx, CRPN 224 Mayo Rd Ste A, Edgewater, MD 21037-2951 Ph: (410) 956-6302

Reviews and Comments

Nurse Practitioner Nurses in Edgewater, MD

Melissa Dana Ramsey, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3169 Braverton St, Ste 200, Edgewater, MD 21037 Phone: 443-852-1611
Marylyn Ezenyi, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 Solomons Island Rd, Edgewater, MD 21037 Phone: 410-798-8715
Perpetua Anthony, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Mayo Rd, Suite 201, Edgewater, MD 21037 Phone: 410-956-6800
Linet Kandie, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3025 Solomons Island Rd, Edgewater, MD 21037 Phone: 410-798-8715 Fax: 410-798-8730
Caroline Shirima, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Mayo Rd Ste 201, Edgewater, MD 21037 Phone: 410-956-6800
Ms. Lally Anne Heffner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2303 Noblewood Rd, Edgewater, MD 21037 Phone: 301-529-1471
Ursula Rocha, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 858 Clamshell Ct, Edgewater, MD 21037 Phone: 910-381-8323

Shaylyn Proulx, CRPN - Medicare Nurse Practitioner in Edgewater, MD