Charles I Shelton Jr, DO | |
1350 Bull Lea Rd, Lexington, KY 40511-1247 | |
(859) 246-8000 | |
(859) 246-8043 |
Full Name | Charles I Shelton Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 35 Years |
Location | 1350 Bull Lea Rd, Lexington, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023111697 | NPI | - | NPPES |
011071 | Other | OH | STATE MEDICAL BOARD OF OHIO |
02282 | Other | KY | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 02282 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Kentucky Hospital | Lexington, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Medical Services Foundation, Inc | 5698689909 | 805 |
Entity Name | University Of Kentucky |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072 |
Entity Name | Kentucky Medical Services Foundation, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300 |
Entity Name | Commonwealth Of Kentucky |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790816395 PECOS PAC ID: 9436122710 Enrollment ID: O20040816000397 |
Mailing Address | Practice Location Address |
---|---|
Charles I Shelton Jr, DO 1350 Bull Lea Rd, Lexington, KY 40511-1247 Ph: (859) 246-8000 | Charles I Shelton Jr, DO 1350 Bull Lea Rd, Lexington, KY 40511-1247 Ph: (859) 246-8000 |
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