Shelly Ebert, FNP in Highland, UT - Medicare Nurse Practitioner

Shelly Ebert, FNP is a medicare enrolled "Nurse Practitioner" in Highland, Utah. Her current practice location is 10968 N Alpine Hwy, Highland, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 763-2900.

Shelly Ebert is licensed to practice in Utah (license number 219649-4405) 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 1659307809.

Contact Information

	Shelly Ebert, FNP
	10968 N Alpine Hwy, Highland, UT 84003-8874
	(801) 763-2900
	(801) 763-2929

Map and Direction

Provider's Profile

Full Name	Shelly Ebert
Gender	Female
Speciality	Nurse Practitioner
Location	10968 N Alpine Hwy, Highland, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659307809
Provider Enumeration Date: 06/22/2006
Last Update Date: 06/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9638173834
Enrollment ID: I20060830000441

Medical Identifiers

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

Identifier	Type	State	Issuer
1659307809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	219649-4405 (Utah)	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 Ebert allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 Ebert 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 Ebert, FNP Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 855-2900	Shelly Ebert, FNP 10968 N Alpine Hwy, Highland, UT 84003-8874 Ph: (801) 763-2900

Reviews and Comments

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Shelly Ebert, FNP - Medicare Nurse Practitioner in Highland, UT