Shayna Dawn Piedimonte, MSN, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Archie, Missouri. Her current practice location is
709 E Pine, Archie, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 430-5777.
Shayna Dawn Piedimonte is licensed to practice in Missouri (license number 2000163224) 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 1457575102.
Provider's Profile
| Full Name | Shayna Dawn Piedimonte |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 709 E Pine, Archie, Missouri |
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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: 1457575102
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 02/28/2008
Medicare PECOS Information:
- PECOS PAC ID: 3678647070
- Enrollment ID: I20210122002453
Medical Identifiers
Medical identifiers for Shayna Dawn Piedimonte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457575102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2000163224 (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. Shayna Dawn Piedimonte allows following entities to bill medicare on her behalf.
| Entity Name | Central Maine Clinical Associates Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356676688
PECOS PAC ID: 1850321811
Enrollment ID: O20050818000910 |
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| Entity Name | Maine Medical Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619519873
PECOS PAC ID: 7810229259
Enrollment ID: O20191104002506 |
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| Entity Name | Mrh Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558319103
PECOS PAC ID: 1355770892
Enrollment ID: O20200803002384 |
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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. Shayna Dawn Piedimonte 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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Shayna Dawn Piedimonte, MSN, RN, FNP
Po Box 46,
Archie, MO 64725-0046
Ph: (816) 430-5777 | Shayna Dawn Piedimonte, MSN, RN, FNP
709 E Pine,
Archie, MO 64725
Ph: (816) 430-5777 |
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