Dr Chantal Marie Shelstad, DC is a medicare enrolled "Chiropractor" provider in Decherd, Tennessee. Her current practice location is
25 Veterans Dr, Decherd, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 967-4199.
Dr Chantal Marie Shelstad is licensed to practice in Tennessee (license number 3723) 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 1093405821.
Healthcare Provider's Profile
| Full Name | Dr Chantal Marie Shelstad |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 25 Veterans Dr, Decherd, Tennessee |
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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: 1093405821
- Provider Enumeration Date: 05/15/2023
- Last Update Date: 05/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355707134
- Enrollment ID: I20230522000363
Medical Identifiers
Medical identifiers for Dr Chantal Marie Shelstad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093405821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NP0017X | Chiropractor - Pediatric Chiropractor | 3723 (Tennessee) | Secondary |
| 111NN1001X | Chiropractor - Nutrition | 3723 (Tennessee) | Secondary |
| 111N00000X | Chiropractor | 3723 (Tennessee) | 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 Chantal Marie Shelstad allows following entities to bill medicare on her behalf.
| Provider Name | Rudder Chiropractic Center, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265606396
PECOS PAC ID: 0840368692
Enrollment ID: O20081006000672 |
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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 Chantal Marie Shelstad 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 Chantal Marie Shelstad, DC
305 E Main St Unit 24,
Decherd, TN 37324-1500
Ph: (254) 258-5284 | Dr Chantal Marie Shelstad, DC
25 Veterans Dr,
Decherd, TN 37324-3887
Ph: (931) 967-4199 |
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