Dr Penn P Shelley, MD is a medicare enrolled "General Practice" physician in Chatham, New Jersey. His current practice location is
4 Rolling Hill Drive, Chatham, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 377-3385.
Dr Penn P Shelley is licensed to practice in New Jersey (license number 25MA01847300) 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 1700044021.
Physician's Profile
Full Name | Dr Penn P Shelley |
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Gender | Male |
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Speciality | General Practice |
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Location | 4 Rolling Hill Drive, Chatham, New Jersey |
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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: 1700044021
- Provider Enumeration Date: 05/23/2008
- Last Update Date: 05/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 3476878612
- Enrollment ID: I20150211001358
Medical Identifiers
Medical identifiers for Dr Penn P Shelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700044021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 25MA01847300 (New Jersey) | 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 Penn P Shelley 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 Penn P Shelley, MD 4 Rolling Hill Drive, Chatham, NJ 07928-1642 Ph: (973) 377-3385 | Dr Penn P Shelley, MD 4 Rolling Hill Drive, Chatham, NJ 07928-1642 Ph: (973) 377-3385 |
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