Dr Shelley Lynn Anderson, AUD is a medicare enrolled "Audiologist" provider in Pittsboro, North Carolina. Her current practice location is
57 Grant Dr Ste F, Pittsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 974-5300.
Dr Shelley Lynn Anderson is licensed to practice in North Carolina (license number 12919) 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 1265813745.
Healthcare Provider's Profile
| Full Name | Dr Shelley Lynn Anderson |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 57 Grant Dr Ste F, Pittsboro, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265813745
- Provider Enumeration Date: 06/10/2015
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052626850
- Enrollment ID: I20150821013568
Medical Identifiers
Medical identifiers for Dr Shelley Lynn Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265813745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AY1949 (Florida) | Secondary |
| 231H00000X | Audiologist | 12919 (North Carolina) | Primary |
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. Dr Shelley Lynn Anderson allows following entities to bill medicare on her behalf.
| Provider Name | Florida Ent Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184625733
PECOS PAC ID: 4587556923
Enrollment ID: O20040329001213 |
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| Provider Name | Coastal Ear Nose & Throat Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265417729
PECOS PAC ID: 7911083696
Enrollment ID: O20080320000299 |
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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. Dr Shelley Lynn Anderson 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 |
|---|
Dr Shelley Lynn Anderson, AUD
15280 Nw 79th Ct Ste 200,
Miami Lakes, FL 33016-5873
Ph: (305) 558-3732 | Dr Shelley Lynn Anderson, AUD
57 Grant Dr Ste F,
Pittsboro, NC 27312-9975
Ph: (984) 974-5300 |
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