Randal Lucas Shelly, DO | |
400 Highland Ave, Lewistown, PA 17044-1167 | |
(717) 248-5411 | |
(717) 242-7581 |
Full Name | Randal Lucas Shelly |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 25 Years |
Location | 400 Highland Ave, Lewistown, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730180126 | NPI | - | NPPES |
080180776 | Other | PA | RAILROAD MEDICARE |
120420410 | Other | PA | DEPT OF LABOR |
25-1716306 | Other | PA | GREATWEST HEALTHCARE |
25-1716306 | Other | PA | DEVON |
25-1716306 | Other | PA | SOUTH CENTRAL PREFERRED |
2890315 | Other | PA | AETNA HMO |
OS010845L | Other | PA | LICENSE |
1007307260034 | Other | PA | MEDICAID GROUP # |
25-1716306 | Other | PA | HEALTHNET/TRICARE |
P006022 | Other | PA | GATEWAY (CH) |
25-1716306 | Other | PA | INFORMED |
25-1716306 | Other | PA | MULTIPLAN/PHCS |
50045001 | Other | PA | CAPITAL BLUECROSS (CH) |
25-1716306 | Other | PA | INTERGROUP |
277524 | Other | PA | MAMSI |
7437368 | Other | PA | AETNA NON-HMO |
867633 | Other | PA | MEDICARE GROUP # |
172970 | Other | PA | UNISON |
2198371 | Other | PA | FIRST HEALTH |
1533687 | Other | PA | GATEWAY (WH) |
308445 | Other | PA | HEALTH AMERICA |
0018237650007 | Medicaid | PA | |
50087606 | Other | PA | CAPITAL BLUECROSS (WH) |
85320 | Other | PA | HIGHMARK BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS010845L (Pennsylvania) | Secondary |
208M00000X | Hospitalist | OS010845L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-lewistown Hospital | Lewistown, PA | Hospital |
Geisinger Jersey Shore Hospital | Jersey shore, PA | Hospital |
Chambersburg Hospital | Chambersburg, PA | Hospital |
Mount Nittany Medical Center | State college, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellspan Medical Group | 1951213115 | 1966 |
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Summit Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306840814 PECOS PAC ID: 5496659484 Enrollment ID: O20031121000259 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Entity Name | Geisinger-hm Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
Mailing Address | Practice Location Address |
---|---|
Randal Lucas Shelly, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Randal Lucas Shelly, DO 400 Highland Ave, Lewistown, PA 17044-1167 Ph: (717) 248-5411 |
Kaushal Pandey, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7116 Fax: 717-242-7581 | |
Sharon Miller, CRNP Hospitalist Medicare: Medicare Enrolled Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-248-5411 | |
Dr. John F. Pagnotto, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 21 Geisinger Ln, Lewistown, PA 17044 Phone: 717-242-4200 | |
Karina Henriquez, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-7040 | |
Julie Xanthopoulos, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Ave., Lewistown, PA 17044 Phone: 717-248-5411 Fax: 717-242-7581 |