Dr Stephen Richard Shively, DO is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Greenfield, Indiana. His current practice location is
1 Memorial Sq Ste 2100, Greenfield, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 477-6683.
Dr Stephen Richard Shively is licensed to practice in Indiana (license number 02007116A) 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 1417497819.
Physician's Profile
Full Name | Dr Stephen Richard Shively |
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Gender | Male |
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Speciality | Orthopaedic Surgery - Sports Medicine |
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Location | 1 Memorial Sq Ste 2100, Greenfield, Indiana |
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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: 1417497819
- Provider Enumeration Date: 03/03/2017
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153688767
- Enrollment ID: I20220803003584
Medical Identifiers
Medical identifiers for Dr Stephen Richard Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417497819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 02007116A (Indiana) | Primary |
207X00000X | Orthopaedic Surgery | 0102207029 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Stephen Richard Shively allows following entities to bill medicare on his behalf.
Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
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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 Stephen Richard Shively 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 Stephen Richard Shively, DO 6737 Vail Ct, Mccordsville, IN 46055-0139 Ph: (317) 341-0613 | Dr Stephen Richard Shively, DO 1 Memorial Sq Ste 2100, Greenfield, IN 46140-1380 Ph: (317) 477-6683 |
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