Burton Otis Shelton, FNP C is a medicare enrolled "Nurse Practitioner" physician in Winston Salem, North Carolina. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Novant Medical Group Inc and his current practice location is
3333 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 718-7080.
Burton Otis Shelton is licensed to practice in North Carolina (license number 201895) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184685687.
Physician's Profile
Full Name | Burton Otis Shelton |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 20 Years |
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Location | 3333 Silas Creek Pkwy, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Burton Otis Shelton graduated from medical school in 2004
NPI Data:
- NPI Number: 1184685687
- Provider Enumeration Date: 04/01/2006
- Last Update Date: 10/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294756599
- Enrollment ID: I20051214000740
Medical Identifiers
Medical identifiers for Burton Otis Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184685687 | NPI | - | NPPES |
7005844 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 201895 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 201895 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Novant Medical Group Inc | 1153234893 | 2023 |
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. Burton Otis Shelton allows following entities to bill medicare on his behalf.
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
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Entity Name | Forsyth Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
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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. Burton Otis 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 |
Burton Otis Shelton, FNP C Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 718-7080 | Burton Otis Shelton, FNP C 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 718-7080 |
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