Dr Donnie Edwin Shelton Jr, MD - Medicare Emergency Medicine in Herrin, IL

Dr Donnie Edwin Shelton Jr, MD is a medicare enrolled "Emergency Medicine" physician in Herrin, Illinois. His current practice location is 201 S 14th St, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 942-2171.

Dr Donnie Edwin Shelton Jr is licensed to practice in Illinois (license number 036121910) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346301025.

Contact Information

Dr Donnie Edwin Shelton Jr, MD
201 S 14th St,
Herrin, IL 62948
(618) 942-2171
(618) 351-4917

Map and Direction




Physician's Profile

Full NameDr Donnie Edwin Shelton Jr
GenderMale
SpecialityEmergency Medicine
Location201 S 14th St, Herrin, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346301025
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 09/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668536913
  • Enrollment ID: I20090130000504

Medical Identifiers

Medical identifiers for Dr Donnie Edwin Shelton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346301025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1250520017 (Illinois)Secondary
207P00000XEmergency Medicine 036121910 (Illinois)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. Dr Donnie Edwin Shelton Jr allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284
Entity NameDeaconess Illinois Specialty Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972210235
PECOS PAC ID: 9830562016
Enrollment ID: O20230321001688

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 Donnie Edwin Shelton Jr 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 Donnie Edwin Shelton Jr, MD
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 457-5200
Dr Donnie Edwin Shelton Jr, MD
201 S 14th St,
Herrin, IL 62948

Ph: (618) 942-2171

Reviews and Comments


Emergency Medicine Doctors in Herrin, IL

Levite Judah Biddle, PARAMEDIC
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3224 S Park Ave, Herrin, IL 62948
Phone: 618-740-0949    
Dr. Alan John Wilson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-351-4917
Dr. Eric A Ruebke, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-988-6186
Jaswant S Sidhu, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-351-4917
Dobroslawa Reschke, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-351-4917
Dr. Joshua James Miksanek, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-988-6186
Scott Wesley Cranick, PA-C
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-351-4917

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.