Gwendolyn Shelton, MD is a medicare enrolled "Pediatrics" physician in Boonville, Indiana. Her current practice location is
1116 Millis Ave, Boonville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 897-7404.
Gwendolyn Shelton is licensed to practice in Indiana (license number 01083878A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285649749.
Physician's Profile
Full Name | Gwendolyn Shelton |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1116 Millis Ave, Boonville, 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: 1285649749
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739282351
- Enrollment ID: I20101221000259
Medical Identifiers
Medical identifiers for Gwendolyn Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285649749 | NPI | - | NPPES |
41835557 | Medicaid | NM | |
1018027 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2002-0294 (New Mexico) | Secondary |
208000000X | Pediatrics | 0420012043 (Vermont) | Secondary |
208000000X | Pediatrics | 01083878A (Indiana) | 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. Gwendolyn Shelton allows following entities to bill medicare on her behalf.
Entity Name | Central Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
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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. Gwendolyn Shelton 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 |
Gwendolyn Shelton, MD 1116 Millis Ave, Boonville, IN 47601-2204 Ph: () - | Gwendolyn Shelton, MD 1116 Millis Ave, Boonville, IN 47601-2204 Ph: (812) 897-7404 |
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