Ty Shettron, FNP is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Colorado. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Honestar Wound Care Pllc, Spencer J Hardenbrook Md Pc and his current practice location is
900 Church St, Springfield, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 523-6628.
Ty Shettron is licensed to practice in Colorado (license number 0990954) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659709574.
Provider's Profile
| Full Name | Ty Shettron |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 900 Church St, Springfield, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ty Shettron graduated from nursing school in 2010
NPI Data:
- NPI Number: 1659709574
- Provider Enumeration Date: 11/01/2013
- Last Update Date: 01/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860481223
- Enrollment ID: I20190218001410
Medical Identifiers
Medical identifiers for Ty Shettron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659709574 | NPI | - | NPPES |
| 89279077 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0990954 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Honestar Wound Care Pllc | 1456761550 | 55 |
| Spencer J Hardenbrook Md Pc | 2062733546 | 20 |
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. Ty Shettron allows following entities to bill medicare on his behalf.
| Entity Name | True North Health Navigation Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740622133
PECOS PAC ID: 5294960696
Enrollment ID: O20131019000091 |
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| Entity Name | Heartlight Family Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639529738
PECOS PAC ID: 5597046219
Enrollment ID: O20170111001257 |
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| Entity Name | Honestar Wound Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508470170
PECOS PAC ID: 1456761550
Enrollment ID: O20210517000058 |
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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. Ty Shettron 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 |
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Ty Shettron, FNP
373 E 10th Ave,
Springfield, CO 81073-1622
Ph: (719) 523-6628 | Ty Shettron, FNP
900 Church St,
Springfield, CO 81073-1636
Ph: (719) 523-6628 |
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