Shelby Shelby, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Beaver Dam, Kentucky. Her current practice location is
1213 N Main St, Beaver Dam, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 274-4771.
Shelby Shelby is licensed to practice in Kentucky (license number 0000) 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 1295182947.
Healthcare Provider's Profile
| Full Name | Shelby Shelby |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1213 N Main St, Beaver Dam, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1295182947
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860740107
- Enrollment ID: I20201027001568
Medical Identifiers
Medical identifiers for Shelby Shelby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295182947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 0000 (Kentucky) | 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. Shelby Shelby allows following entities to bill medicare on her behalf.
| Provider Name | Owensboro Health Medical Group Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818 |
|---|
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 Shelby 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 |
|---|
Shelby Shelby, RDN, LD
Po Box 23229,
Owensboro, KY 42304-3229
Ph: (270) 691-8070 | Shelby Shelby, RDN, LD
1213 N Main St,
Beaver Dam, KY 42320-8955
Ph: (270) 274-4771 |
Reviews and Comments