Renee Elizabeth Shepherd, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Supply, North Carolina. She went to Kent State University College Of Podiatric Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Instride Foot And Ankle Specialists Pllc and her current practice location is
14 Doctors Cir Ste 2, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(107) 556-5129.
Renee Elizabeth Shepherd is licensed to practice in Virginia (license number 0103301338) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558713420.
Healthcare Provider's Profile
| Full Name | Renee Elizabeth Shepherd |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 10 Years |
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| Location | 14 Doctors Cir Ste 2, Supply, North Carolina |
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| Accepts Medicare Assignments | Yes. She 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:
- Renee Elizabeth Shepherd attended and graduated from Kent State University College Of Podiatric Medicine in 2016
NPI Data:
- NPI Number: 1558713420
- Provider Enumeration Date: 07/05/2016
- Last Update Date: 06/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951689181
- Enrollment ID: I20240912001239
Medical Identifiers
Medical identifiers for Renee Elizabeth Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558713420 | NPI | - | NPPES |
| E5569 | Other | CA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5569 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | SC006766 (Pennsylvania) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103301338 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Instride Foot And Ankle Specialists Pllc | 7012168271 | 48 |
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. Renee Elizabeth Shepherd allows following entities to bill medicare on her behalf.
| Provider Name | Instride Foot And Ankle Specialists Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1457601601
PECOS PAC ID: 7012168271
Enrollment ID: O20121115000501 |
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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. Renee Elizabeth Shepherd 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 |
|---|
Renee Elizabeth Shepherd, DPM
14 Doctors Cir Ste 2,
Supply, NC 28462-4088
Ph: (107) 556-5129 | Renee Elizabeth Shepherd, DPM
14 Doctors Cir Ste 2,
Supply, NC 28462-4088
Ph: (107) 556-5129 |
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