Dr Carl J Shealy, MD - Medicare Family Practice in Lexington, SC

Dr Carl J Shealy, MD is a medicare enrolled "Family Medicine" physician in Lexington, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lexington Health Inc and his current practice location is 2006 Augusta Hwy, Lexington, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 785-4747.

Dr Carl J Shealy is licensed to practice in South Carolina (license number 14977) 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 1891706917.

Contact Information

Dr Carl J Shealy, MD
2006 Augusta Hwy,
Lexington, SC 29072-2208
(803) 785-4747
(803) 785-4750

Map and Direction




Physician's Profile

Full NameDr Carl J Shealy
GenderMale
SpecialityFamily Practice
Experience35 Years
Location2006 Augusta Hwy, Lexington, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carl J Shealy attended and graduated from Medical University Of South Carolina College Of Medicine in 1989
  NPI Data:
  • NPI Number: 1891706917
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 11/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7618019605
  • Enrollment ID: I20100129000146

Medical Identifiers

Medical identifiers for Dr Carl J Shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891706917NPI-NPPES
149770MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 14977 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of LexingtonLexington, SCHome health agency
Tri County Home HealthIrmo, SCHome health agency
Interim Healthcare Of The UpstateGreenville, SCHome health agency
Lexington Medical CenterWest columbia, SCHospital
Prisma Health BaptistColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lexington Health Inc2567872070767

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. Dr Carl J Shealy allows following entities to bill medicare on his behalf.
Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922

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. Dr Carl J Shealy 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 AddressPractice Location Address
Dr Carl J Shealy, MD
Po Box 6069,
West Columbia, SC 29171-6069

Ph: () -
Dr Carl J Shealy, MD
2006 Augusta Hwy,
Lexington, SC 29072-2208

Ph: (803) 785-4747

Reviews and Comments


Family Medicine Doctors in Lexington, SC

Eva Varoqua, MD
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Medicare: Medicare Enrolled
Practice Location: 105 Brevard Pkwy, Lexington, SC 29073
Phone: 803-951-1880    Fax: 803-951-0384
Dr. Clarence E Coker Iii, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2006 Augusta Hwy, Lexington, SC 29072
Phone: 803-785-4747    Fax: 803-785-4750
Mrs. Brittany Christin Petrilli, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 122 Powell Dr, Lexington, SC 29072
Phone: 803-957-8400    
William H Crigler, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4711 Sunset Blvd, Lexington, SC 29072
Phone: 803-356-3609    Fax: 803-356-3941
Thomas D Bryan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5535 Platt Springs Rd, Lexington, SC 29073
Phone: 803-951-1880    Fax: 803-951-0384
Wendy Leigh Miller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 605 W Main St, Lexington, SC 29072
Phone: 803-358-6100    Fax: 803-358-6105
Daniel H Dunbar, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Old Cherokee Road, Lexington, SC 29072
Phone: 803-314-9110    Fax: 803-314-9111

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.