Rachel Shelton, MD - Medicare General Surgery in Somerset, KY

Rachel Shelton, MD is a medicare enrolled "Surgery" physician in Somerset, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Nautilus Health Care Group Plc and her current practice location is 350 Hospital Way, Suite 270, Somerset, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 425-4298.

Rachel Shelton is licensed to practice in Ohio (license number 57007406) 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 1215061304.

Contact Information

Rachel Shelton, MD
350 Hospital Way, Suite 270,
Somerset, KY 42503-2872
(606) 425-4298
(606) 425-4299

Map and Direction




Physician's Profile

Full NameRachel Shelton
GenderFemale
SpecialityGeneral Surgery
Experience21 Years
Location350 Hospital Way, Somerset, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rachel Shelton attended and graduated from University Of Louisville School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1215061304
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 06/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0143393231
  • Enrollment ID: I20080723000410

Medical Identifiers

Medical identifiers for Rachel Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215061304NPI-NPPES
00675002OtherKYMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 57007406 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifeline Health Care Of PulaskiSomerset, KYHome health agency
Lake Cumberland Regional HospitalSomerset, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nautilus Health Care Group Plc41838680529

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. Rachel Shelton allows following entities to bill medicare on her behalf.
Entity NameRussell County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437245842
PECOS PAC ID: 6204887243
Enrollment ID: O20050217000172
Entity NameNautilus Health Care Group Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164866877
PECOS PAC ID: 4183868052
Enrollment ID: O20130913000649

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. Rachel 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 AddressPractice Location Address
Rachel Shelton, MD
284 Waitsboro Drive,
Somerset, KY 42503

Ph: (606) 425-6002
Rachel Shelton, MD
350 Hospital Way, Suite 270,
Somerset, KY 42503-2872

Ph: (606) 425-4298

Reviews and Comments


Surgery Doctors in Somerset, KY

Dr. Joseph Eid, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 305 Langdon St, Somerset, KY 42503
Phone: 606-678-3315    Fax: 606-678-9919
Dr. Michael Stephen Citak, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 350 Hospital Way, Suite 250, Somerset, KY 42503
Phone: 606-451-6005    Fax: 606-678-2087
Dr. Keith G Sinclair, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 79 Imaging Dr, Somerset, KY 42503
Phone: 606-305-8022    Fax: 606-249-9994
Tommy Warren Shelton, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 350 Hospital Way, Suite 270, Somerset, KY 42503
Phone: 606-425-4298    Fax: 606-425-4299
Donald Wayne Brown, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 25 Medpark Drive, Suite 3, Somerset, KY 42501
Phone: 270-796-3330    Fax: 270-796-3338

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.