Dr Miriam J Shatley, MD is a medicare enrolled "Dermatology" physician in Flowood, Mississippi. She went to University Of Arkansas College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Belle Meade Medical Llc, Madison Medical Dermatology, Llc and her current practice location is
108 Belle Meade Pointe, Flowood, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 992-7002.
Dr Miriam J Shatley is licensed to practice in Mississippi (license number 14462) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1235154121.
Physician's Profile
Full Name | Dr Miriam J Shatley |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 36 Years |
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Location | 108 Belle Meade Pointe, Flowood, Mississippi |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Miriam J Shatley attended and graduated from University Of Arkansas College Of Medicine in 1988
NPI Data:
- NPI Number: 1235154121
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 7719911056
- Enrollment ID: I20050927000266
Medical Identifiers
Medical identifiers for Dr Miriam J Shatley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235154121 | NPI | - | NPPES |
14462 | Other | MS | STATE MEDICAL LICENSE ## |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 14462 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Belle Meade Medical Llc | 0547294886 | 4 |
Madison Medical Dermatology, Llc | 4486976552 | 4 |
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 Miriam J Shatley allows following entities to bill medicare on her behalf.
Entity Name | Belle Meade Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730109240 PECOS PAC ID: 0547294886 Enrollment ID: O20050926000467 |
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Entity Name | Madison Medical Dermatology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831506187 PECOS PAC ID: 4486976552 Enrollment ID: O20141126000733 |
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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 Miriam J Shatley 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 Address | Practice Location Address |
Dr Miriam J Shatley, MD 107 Heron Cove - Foxbay, Brandon, MS 39047-8993 Ph: (601) 992-7002 | Dr Miriam J Shatley, MD 108 Belle Meade Pointe, Flowood, MS 39232 Ph: (601) 992-7002 |
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