Mrs Shannon Slocumb Ethridge, FNP-C - Medicare Nurse Practitioner in Macon, GA

Mrs Shannon Slocumb Ethridge, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Macon, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vineville Internal Medicine Llc and her current practice location is 3448 Vineville Ave Bldg B, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 405-0045.

Mrs Shannon Slocumb Ethridge is licensed to practice in Georgia (license number RN198355) 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 1033527254.

Contact Information

Mrs Shannon Slocumb Ethridge, FNP-C
3448 Vineville Ave Bldg B,
Macon, GA 31204-1867
(478) 405-0045
Not Available



Provider's Profile

Full NameMrs Shannon Slocumb Ethridge
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location3448 Vineville Ave Bldg B, Macon, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shannon Slocumb Ethridge graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1033527254
  • Provider Enumeration Date: 07/31/2014
  • Last Update Date: 12/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739308735
  • Enrollment ID: I20140923001927

Medical Identifiers

Medical identifiers for Mrs Shannon Slocumb Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033527254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN198355 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center, Navicent Health (the)Macon, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vineville Internal Medicine Llc094128171113

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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. Mrs Shannon Slocumb Ethridge allows following entities to bill medicare on her behalf.
Entity NameVineville Internal Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396955431
PECOS PAC ID: 0941281711
Enrollment ID: O20060223000410

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Entity NameCynthia L Giles Do Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801159777
PECOS PAC ID: 9133379720
Enrollment ID: O20121016000643

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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. Mrs Shannon Slocumb Ethridge 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 AddressPractice Location Address
Mrs Shannon Slocumb Ethridge, FNP-C
3448 Vineville Ave Bldg B,
Macon, GA 31204-1867

Ph: () -
Mrs Shannon Slocumb Ethridge, FNP-C
3448 Vineville Ave Bldg B,
Macon, GA 31204-1867

Ph: (478) 405-0045

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Nurse Practitioner Nurses in Macon, GA

Michelle Renee Brown, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 655 1st St, Macon, GA 31201
Phone: 478-301-5930    Fax: 478-301-5932
Mrs. Jamie Lynn Harrelson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4061 Vineville Ave, Macon, GA 31210
Phone: 478-757-7345    
Skylar Nelson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217
Phone: 478-745-1191    
Jo Beth Roberts, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 478-633-6706    Fax: 478-633-5384
Jennifer Johnson Slade, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3888 Northside Dr, Macon, GA 31210
Phone: 478-477-4044    Fax: 478-477-7076
Mrs. Lynn Davis Waits, MSN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 College Station Dr, Macon, GA 31206
Phone: 478-471-2092    
Ms. Mirela Danaj, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201
Phone: 478-633-7550    

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