Dr Shaundre Nichelle Brown, MD is a medicare enrolled "Hospitalist" physician in Lagrange, Georgia. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2009 and has 15 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is
1514 Vernon Rd, West Georgia Hospital Medicine, Lagrange, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 882-1411.
Dr Shaundre Nichelle Brown is licensed to practice in Georgia (license number 070054) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467763367.
Physician's Profile
Full Name | Dr Shaundre Nichelle Brown |
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Gender | Female |
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Speciality | Hospitalist |
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Experience | 15 Years |
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Location | 1514 Vernon Rd, Lagrange, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Shaundre Nichelle Brown attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2009
NPI Data:
- NPI Number: 1467763367
- Provider Enumeration Date: 06/24/2010
- Last Update Date: 10/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779717848
- Enrollment ID: I20131002000536
Medical Identifiers
Medical identifiers for Dr Shaundre Nichelle Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467763367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 9407501 (Kansas) | Secondary |
207R00000X | Internal Medicine | 070054 (Georgia) | Secondary |
208M00000X | Hospitalist | 070054 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
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 Shaundre Nichelle Brown allows following entities to bill medicare on her behalf.
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
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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 Shaundre Nichelle Brown 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 Shaundre Nichelle Brown, MD 1514 Vernon Rd, Lagrange, GA 30240 Ph: () - | Dr Shaundre Nichelle Brown, MD 1514 Vernon Rd, West Georgia Hospital Medicine, Lagrange, GA 30240-4131 Ph: (706) 882-1411 |
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