Shelby Brewer, in Charleston, IL - Medicare Nurse Practitioner

Shelby Brewer, is a medicare enrolled "Nurse Practitioner" in Charleston, Illinois. Her current practice location is 25 W Lincoln Ave, Charleston, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 345-9600.

Shelby Brewer is licensed to practice in Illinois (license number 209020042) 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 1407499189.

Contact Information

	Shelby Brewer,
	25 W Lincoln Ave, Charleston, IL 61920-3070
	(217) 345-9600
	(217) 345-3045

Map and Direction

Provider's Profile

Full Name	Shelby Brewer
Gender	Female
Speciality	Nurse Practitioner
Location	25 W Lincoln Ave, Charleston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407499189
Provider Enumeration Date: 10/24/2019
Last Update Date: 10/06/2020

Medicare PECOS Information:

PECOS PAC ID: 7012349749
Enrollment ID: I20191118001485

Medical Identifiers

Medical identifiers for Shelby Brewer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407499189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209020042 (Illinois)	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. Shelby Brewer allows following entities to bill medicare on her behalf.

Entity Name	Back To Health Physician's Group, Ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083736169 PECOS PAC ID: 9335137611 Enrollment ID: O20090108000644

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. Shelby Brewer 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
Shelby Brewer, 25 W Lincoln Ave, Charleston, IL 61920-3070 Ph: (217) 345-9600	Shelby Brewer, 25 W Lincoln Ave, Charleston, IL 61920-3070 Ph: (217) 345-9600

Reviews and Comments

Nurse Practitioner Nurses in Charleston, IL

Mrs. Morgan Elizabeth Helbig, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Lincoln Ave Ste 100, Charleston, IL 61920 Phone: 217-345-2030 Fax: 217-345-2045
Dr. Kaylee Marie Beals, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 618 West Lincoln Avenue, Charleston, IL 61920 Phone: 618-650-3956
Mr. Bryan K Callaway, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Lincoln Ave, Charleston, IL 61920 Phone: 217-581-3015
Mrs. Christina L. White, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1199 Persimmon Rd, Charleston, IL 61920 Phone: 217-317-9385
Mrs. Kristen Marie Walk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Lincoln Ave Ste 100, Charleston, IL 61920 Phone: 217-345-2030 Fax: 217-345-2045
Melissa Paholke, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Lincoln Ave Ste 100, Charleston, IL 61920 Phone: 217-345-2030 Fax: 217-345-2045
Mrs. Becky K Ogle, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Lincoln Ave, Charleston, IL 61920 Phone: 217-581-7015

Shelby Brewer, - Medicare Nurse Practitioner in Charleston, IL