Dr John Carroll Shively, MD - Preventive Medicine in Lafayette, IN

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Dr John Carroll Shively, MD is a Preventive Medicine - Occupational Medicine physician based in Lafayette, Indiana. Dr John Carroll Shively is licensed to practice in Indiana (license number 01032390A) and his current practice location is 3701 State Road 26 E, Lafayette, Indiana. He can be reached at his office (for appointments etc.) via phone at (765) 448-5800.

NPI number for Dr John Carroll Shively is 1770763153 and his current mailing address is 3701 State Road 26 E, Lafayette, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770763153.

Contact Information

Dr John Carroll Shively, MD
3701 State Road 26 E,
Lafayette, IN 47905-4808
(765) 448-5800
(765) 448-2032

Map and Direction




Physician's Profile

Full NameDr John Carroll Shively
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location3701 State Road 26 E, Lafayette, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770763153
  • Provider Enumeration Date: 11/14/2007
  • Last Update Date: 11/14/2007

Medical Identifiers

Medical identifiers for Dr John Carroll Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770763153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 01032390A (Indiana)Primary

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 John Carroll Shively is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Carroll Shively, MD
3701 State Road 26 E,
Lafayette, IN 47905-4808

Ph: (765) 448-5800		Dr John Carroll Shively, MD
3701 State Road 26 E,
Lafayette, IN 47905-4808

Ph: (765) 448-5800

Reviews and Comments


Preventive Medicine Doctors in Lafayette, IN

Elizabeth Riggs, M.D.
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Unity Pl, Suite B, Lafayette, IN 47905
Phone: 765-446-1362    Fax: 765-446-1007
Carl D Griffin, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 2600 Greenbush St, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8702

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.