Shelly Boone, CFNP in Forest, MS - Medicare Nurse Practitioner

Shelly Boone, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Forest, Mississippi. Her current practice location is 526 Deerfield Dr, Forest, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 469-0291.

Shelly Boone is licensed to practice in Mississippi (license number R863942) 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 1750797874.

Contact Information

	Shelly Boone, CFNP
	526 Deerfield Dr, Forest, MS 39074-6005
	(601) 469-0291
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelly Boone
Gender	Female
Speciality	Nurse Practitioner - Family
Location	526 Deerfield Dr, Forest, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750797874
Provider Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014

Medicare PECOS Information:

PECOS PAC ID: 3173745197
Enrollment ID: I20141106001932

Medical Identifiers

Medical identifiers for Shelly Boone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750797874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R863942 (Mississippi)	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. Shelly Boone allows following entities to bill medicare on her behalf.

Entity Name	Independent Healthcare Management Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487

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. Shelly Boone 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
Shelly Boone, CFNP 12953 Highway 501, Forest, MS 39074-5647 Ph: (601) 536-3979	Shelly Boone, CFNP 526 Deerfield Dr, Forest, MS 39074-6005 Ph: (601) 469-0291

Reviews and Comments

Nurse Practitioner Nurses in Forest, MS

Rori E. Bridges, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 N Broad St, Forest, MS 39074 Phone: 601-469-4771 Fax: 601-469-4724
Courtney S Dubose, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Highway 35 S, Forest, MS 39074 Phone: 601-541-4313
Claudia Bowman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1123 Highway 35 S, Forest, MS 39074 Phone: 601-469-4771 Fax: 601-469-4724
Jena Herrington, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-3320
Mary Elizabeth Paul, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1129 Highway 35 S Ste 1, Forest, MS 39074 Phone: 601-469-3320 Fax: 601-469-3323
Kristi M Cox, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Oak Park Dr, Forest, MS 39074 Phone: 601-701-8883
Tamatha Nicole Owen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Highway 35 S, Forest, MS 39074 Phone: 931-253-1110

Shelly Boone, CFNP - Medicare Nurse Practitioner in Forest, MS