Shellie Ann Godina, is a medicare enrolled "Dentist" provider in Millersburg, Indiana. Her current practice location is
422 N Benton St, Millersburg, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 642-4449.
Shellie Ann Godina is licensed to practice in Indiana (license number 12011803A) 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 1154661247.
Healthcare Provider's Profile
Full Name | Shellie Ann Godina |
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Gender | Female |
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Speciality | Dentist |
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Location | 422 N Benton St, Millersburg, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154661247
- Provider Enumeration Date: 02/26/2013
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264734078
- Enrollment ID: I20160112000506
Medical Identifiers
Medical identifiers for Shellie Ann Godina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154661247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 12011803A (Indiana) | Primary |
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. Shellie Ann Godina 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 |
Shellie Ann Godina, 58724 Fawn River Ct, Elkhart, IN 46516-6200 Ph: (574) 238-5470 | Shellie Ann Godina, 422 N Benton St, Millersburg, IN 46543-9732 Ph: (574) 642-4449 |
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