Amy Shelton, is a medicare enrolled "Counselor" provider in Collinwood, Tennessee. Her current practice location is
104 1st Ave South, Collinwood, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 724-9000.
Amy Shelton is licensed to practice in Tennessee (license number 4758) 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 1952943938.
Healthcare Provider's Profile
| Full Name | Amy Shelton |
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| Gender | Female |
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| Speciality | Counselor |
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| Location | 104 1st Ave South, Collinwood, 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: 1952943938
- Provider Enumeration Date: 10/11/2019
- Last Update Date: 10/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537693569
- Enrollment ID: I20241113000433
Medical Identifiers
Medical identifiers for Amy Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952943938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 4758 (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. Amy Shelton allows following entities to bill medicare on her behalf.
| Entity Name | Family Care Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124756085
PECOS PAC ID: 5991064420
Enrollment ID: O20230501001893 |
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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. Amy Shelton 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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Amy Shelton,
Po Box 1258,
Waynesboro, TN 38485-1258
Ph: (931) 253-1110 | Amy Shelton,
104 1st Ave South,
Collinwood, TN 38450
Ph: (931) 724-9000 |
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