Shelby Pain And Spine is a medicare enrolled "Family Medicine" provider in Shelbyville, Indiana. Their current practice location is
302 Duran Dr, Shelbyville, Indiana. You can reach out to their office (for appointments etc.) via phone at
(317) 392-6200.
Shelby Pain And Spine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Shelby Pain And Spine
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1902465941.
Healthcare Provider's Profile
| Full Name | Shelby Pain And Spine |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 302 Duran Dr, Shelbyville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902465941
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 10/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 7315279387
- Enrollment ID: O20191023002742
Medical Identifiers
Medical identifiers for Shelby Pain And Spine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902465941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Shelby Pain And Spine acts as a billing entity for following providers:
| Provider Name | Daniel Paul Duran |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1194797308
PECOS PAC ID: 9739106303
Enrollment ID: I20051102000329 |
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| Provider Name | Jeffrey R Mcintyre |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1376772525
PECOS PAC ID: 6507902087
Enrollment ID: I20091014000363 |
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| Provider Name | Devon T Mcgillem |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1225264245
PECOS PAC ID: 1456498286
Enrollment ID: I20091027000389 |
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| Provider Name | John E Loudermilk |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1780996918
PECOS PAC ID: 1658514450
Enrollment ID: I20141231000357 |
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| Provider Name | Zachary John-steven Knowlton |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1487128245
PECOS PAC ID: 3476891565
Enrollment ID: I20190215000217 |
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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. Shelby Pain And Spine 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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Shelby Pain And Spine
407 E Market St Ste 102,
Crawfordsville, IN 47933-1852
Ph: (765) 362-1500 | Shelby Pain And Spine
302 Duran Dr,
Shelbyville, IN 46176-1986
Ph: (317) 392-6200 |
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