Mary Ellen Theresa Shields, MD is a medicare enrolled "Surgery" physician in Berea, Kentucky. Her current practice location is
305 Estill St, Berea, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 986-8418.
Mary Ellen Theresa Shields is licensed to practice in Kentucky (license number 30354) 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 1285680553.
Physician's Profile
| Full Name | Mary Ellen Theresa Shields |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 305 Estill St, Berea, Kentucky |
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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. |
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Medical Education and Training:
- Mary Ellen Theresa Shields attended and graduated from in
NPI Data:
- NPI Number: 1285680553
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mary Ellen Theresa Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285680553 | NPI | - | NPPES |
| 64303548 | Medicaid | KY | |
| P00357584 | Other | KY | RRMC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 30354 (Kentucky) | 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. Mary Ellen Theresa Shields 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 |
|---|
Mary Ellen Theresa Shields, MD
Po Box 936,
London, KY 40743-0936
Ph: (859) 986-8418 | Mary Ellen Theresa Shields, MD
305 Estill St,
Berea, KY 40403-1742
Ph: (859) 986-8418 |
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