Tanya Faye Bush, APRN in Shallotte, NC - Medicare Nurse Practitioner

Tanya Faye Bush, APRN is a medicare enrolled "Nurse Practitioner" in Shallotte, North Carolina. Her current practice location is 512 Village Rd Ste 104, Shallotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 721-4200.

Tanya Faye Bush is licensed to practice in North Carolina (license number 5011389) 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 1619343803.

Contact Information

	Tanya Faye Bush, APRN
	512 Village Rd Ste 104, Shallotte, NC 28470-3409
	(910) 721-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanya Faye Bush
Gender	Female
Speciality	Nurse Practitioner
Location	512 Village Rd Ste 104, Shallotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619343803
Provider Enumeration Date: 08/11/2015
Last Update Date: 09/15/2025

Medicare PECOS Information:

PECOS PAC ID: 1052629151
Enrollment ID: I20190326000831

Medical Identifiers

Medical identifiers for Tanya Faye Bush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619343803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5011389 (North Carolina)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5011389 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APN0000020158 (Tennessee)	Secondary

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. Tanya Faye Bush allows following entities to bill medicare on her behalf.

Entity Name	New Dimension Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912032475 PECOS PAC ID: 0547337123 Enrollment ID: O20080923000800

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

Entity Name	Lcp Services Nc Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366116485 PECOS PAC ID: 5193113033 Enrollment ID: O20211027000498

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. Tanya Faye Bush 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
Tanya Faye Bush, APRN Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Tanya Faye Bush, APRN 512 Village Rd Ste 104, Shallotte, NC 28470-3409 Ph: (910) 721-4200

Reviews and Comments

Nurse Practitioner Nurses in Shallotte, NC

Rachel Irving Almond, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5160 Ocean Hwy W, Shallotte, NC 28470 Phone: 910-332-3800 Fax: 910-579-4589
Elizabeth Barton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3640 Express Dr, Shallotte, NC 28470 Phone: 910-755-5222
Mr. John Hudson Fillmore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 910-754-4441
Jennifer Louise Percival, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441
Mary Elizabeth Bowers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307
Hannah Nicholson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4503 Main St Ste 1, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254
Heidi Ann Schroeder, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 877-935-5255 Fax: 910-236-2118

Tanya Faye Bush, APRN - Medicare Nurse Practitioner in Shallotte, NC