Miss Shelley L Freeman, is a medicare enrolled "Dietitian, Registered" provider in Lascassas, Tennessee. Her current practice location is
1028 Ash Ridge Rd, Lascassas, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 636-9466.
Miss Shelley L Freeman is licensed to practice in Texas (license number DT89643) 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 1952680555.
Healthcare Provider's Profile
| Full Name | Miss Shelley L Freeman |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1028 Ash Ridge Rd, Lascassas, 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: 1952680555
- Provider Enumeration Date: 08/12/2011
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860830429
- Enrollment ID: I20240402003703
Medical Identifiers
Medical identifiers for Miss Shelley L Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952680555 | NPI | - | NPPES |
| 2220 | Other | TN | TN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT89643 (Texas) | 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. Miss Shelley L Freeman allows following entities to bill medicare on her behalf.
| Provider Name | Nourish, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558097824
PECOS PAC ID: 1557724937
Enrollment ID: O20230901000471 |
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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. Miss Shelley L Freeman 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 |
|---|
Miss Shelley L Freeman,
1028 Ash Ridge Rd,
Lascassas, TN 37085-1400
Ph: (931) 636-9466 | Miss Shelley L Freeman,
1028 Ash Ridge Rd,
Lascassas, TN 37085-1400
Ph: (931) 636-9466 |
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