Dr Holly K Sheldon, MD - Medicare Colorectal Surgery (proctology) in Springfield, MA

Dr Holly K Sheldon, MD is a medicare enrolled "Surgery" physician in Springfield, Massachusetts. She went to Boston University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Baystate Medical Practices Inc and her current practice location is 2 Medical Center Dr, Ste 308, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 794-7020.

Dr Holly K Sheldon is licensed to practice in Massachusetts (license number 242091) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942476833.

Contact Information

Dr Holly K Sheldon, MD
2 Medical Center Dr, Ste 308,
Springfield, MA 01107-1270
(413) 794-7020
(413) 794-2670

Map and Direction




Physician's Profile

Full NameDr Holly K Sheldon
GenderFemale
SpecialityColorectal Surgery (proctology)
Experience17 Years
Location2 Medical Center Dr, Springfield, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Holly K Sheldon attended and graduated from Boston University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1942476833
  • Provider Enumeration Date: 05/01/2008
  • Last Update Date: 11/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284866617
  • Enrollment ID: I20150930001024

Medical Identifiers

Medical identifiers for Dr Holly K Sheldon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942476833NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 242091 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baystate Medical CenterSpringfield, MAHospital
Baystate Noble HospitalWestfield, MAHospital
Baystate Wing HospitalPalmer, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baystate Medical Practices Inc59916029711008

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 Holly K Sheldon allows following entities to bill medicare on her behalf.
Entity NameBaystate Medical Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548205909
PECOS PAC ID: 5991602971
Enrollment ID: O20040225000080

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 Holly K Sheldon 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 Holly K Sheldon, MD
280 Chestnut St, 2nd Floor,
Springfield, MA 01199-1001

Ph: (413) 794-5700
Dr Holly K Sheldon, MD
2 Medical Center Dr, Ste 308,
Springfield, MA 01107-1270

Ph: (413) 794-7020

Reviews and Comments


Surgery Doctors in Springfield, MA

Holly S Mason, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 Wason Avenue, Springfield, MA 01107
Phone: 413-794-5265    Fax: 413-794-1794
David W Page, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2 Medical Center Dr, Suite 308, Springfield, MA 01107
Phone: 413-794-7020    Fax: 413-794-2670
Jacqueline J Wu, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2 Medical Center Dr, Ste 308, Springfield, MA 01107
Phone: 413-794-7020    Fax: 413-794-2670
Dr. Sang W Rhee, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Main St, Suite 201, Springfield, MA 01107
Phone: 413-794-0900    Fax: 413-794-2996
Dr. Jacques Townsend, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 2 Medical Center Dr Ste 309, Springfield, MA 01107
Phone: 413-794-8020    Fax: 413-794-2165
Frederique Pinto, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2 Medical Center Drive, Ste 301, Springfield, MA 01107
Phone: 413-794-8020    Fax: 413-794-2165
Richard M Engelman, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 759 Chestnut St, Springfield, MA 01199
Phone: 413-794-5550    Fax: 413-794-9294

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.