Rowan Richard Andrew Sheldon, MD - Medicare Surgery in Morganton, NC

Rowan Richard Andrew Sheldon, MD is a medicare enrolled "Surgery" physician in Morganton, North Carolina. His current practice location is 2209 S Sterling St Ste 530, Morganton, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 580-2250.

Rowan Richard Andrew Sheldon is licensed to practice in North Carolina (license number 2021-03341) 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 1669866844.

Contact Information

Rowan Richard Andrew Sheldon, MD
2209 S Sterling St Ste 530,
Morganton, NC 28655-4093
(828) 580-2250
(828) 580-2252

Map and Direction




Physician's Profile

Full NameRowan Richard Andrew Sheldon
GenderMale
SpecialitySurgery
Location2209 S Sterling St Ste 530, Morganton, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669866844
  • Provider Enumeration Date: 03/25/2015
  • Last Update Date: 04/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325351067
  • Enrollment ID: I20220426000722

Medical Identifiers

Medical identifiers for Rowan Richard Andrew Sheldon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669866844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 29524 (Nebraska)Secondary
208600000XSurgery 2021-03341 (North Carolina)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. Rowan Richard Andrew Sheldon allows following entities to bill medicare on his behalf.
Entity NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033103767
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382
Entity NameCumberland County Hospital System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881946242
PECOS PAC ID: 1850204041
Enrollment ID: O20031112000693
Entity NameBlue Ridge Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467993931
PECOS PAC ID: 9436159712
Enrollment ID: O20070110000601

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. Rowan Richard Andrew Sheldon 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
Rowan Richard Andrew Sheldon, MD
2209 S Sterling St Ste 530,
Morganton, NC 28655-4093

Ph: (828) 580-2250
Rowan Richard Andrew Sheldon, MD
2209 S Sterling St Ste 530,
Morganton, NC 28655-4093

Ph: (828) 580-2250

Reviews and Comments


Surgery Doctors in Morganton, NC

Dr. Leonidas Athanasios Goudas, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 300 Enola Rd, Morganton, NC 28655
Phone: 828-608-6360    Fax: 828-433-2735
Dr. Edwin Hobbs Holler, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Parker Rd, Morganton, NC 28655
Phone: 828-430-9566    Fax: 828-430-9935
Eric Tavis Sevensma, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2209 S Sterling St Ste 600, Morganton, NC 28655
Phone: 828-580-2250    Fax: 828-580-2252

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.