Dr Norman Novelly, DO is a medicare enrolled "Otolaryngology" physician in Shiprock, New Mexico. His current practice location is
Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 368-6001.
Dr Norman Novelly is licensed to practice in Georgia (license number 040500) 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 1457332272.
Physician's Profile
Full Name | Dr Norman Novelly |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | Us Hwy 491 North, Shiprock, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457332272
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658444138
- Enrollment ID: I20180417002023
Medical Identifiers
Medical identifiers for Dr Norman Novelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457332272 | NPI | - | NPPES |
00669721E | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 040500 (Georgia) | Secondary |
207Y00000X | Otolaryngology | 040500 (Georgia) | 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 Norman Novelly allows following entities to bill medicare on his behalf.
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
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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 Norman Novelly 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 Norman Novelly, DO Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Dr Norman Novelly, DO Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
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