Susanna M Shepard, FNP in Gastonia, NC - Medicare Nurse Practitioner

Susanna M Shepard, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gastonia, North Carolina. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centerwell Senior Primary Care Nc Jv Pc, Centerwell Senior Primary Care Nc Pc and her current practice location is 609 N Highland St, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 853-5294.

Susanna M Shepard is licensed to practice in North Carolina (license number 5005161) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003992058.

Contact Information

	Susanna M Shepard, FNP
	609 N Highland St, Gastonia, NC 28052-2179
	(704) 853-5294
	Not Available

Map and Direction

Provider's Profile

Full Name	Susanna M Shepard
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	609 N Highland St, Gastonia, North Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susanna M Shepard attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2006

NPI Data:

NPI Number: 1003992058
Provider Enumeration Date: 10/31/2006
Last Update Date: 11/04/2019

Medicare PECOS Information:

PECOS PAC ID: 0244479913
Enrollment ID: I20131008000156

Medical Identifiers

Medical identifiers for Susanna M Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003992058	NPI	-	NPPES
3339776	Other	SC	GRANITE STATE MALPRACTICE
33N45	Other	SC	SC CONTROLLED SUBSTANCES
7004977	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5005161 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centerwell Senior Primary Care Nc Jv Pc	0345614384	26
Centerwell Senior Primary Care Nc Pc	2264708486	14

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. Susanna M Shepard allows following entities to bill medicare on her behalf.

Entity Name	Gaston Family Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470

Entity Name	Centerwell Senior Primary Care Nc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073034625 PECOS PAC ID: 2264708486 Enrollment ID: O20171016002152

Entity Name	Centerwell Senior Primary Care Nc Jv Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366181943 PECOS PAC ID: 0345614384 Enrollment ID: O20230315000375

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. Susanna M Shepard 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
Susanna M Shepard, FNP 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1900	Susanna M Shepard, FNP 609 N Highland St, Gastonia, NC 28052-2179 Ph: (704) 853-5294

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Cecily Robin Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Sonya Nanette Belin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056 Phone: 047-874-9005
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Cox Rd Ste 201, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274

Susanna M Shepard, FNP - Medicare Nurse Practitioner in Gastonia, NC