Shannon Ashley Inci, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Dallas, Georgia. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is
120 Greystone Power Blvd Ste 100, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 945-8345.
Shannon Ashley Inci is licensed to practice in Georgia (license number 8305) 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 1255785366.
Physician's Profile
| Full Name | Shannon Ashley Inci |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 8 Years |
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| Location | 120 Greystone Power Blvd Ste 100, Dallas, Georgia |
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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:
- Shannon Ashley Inci graduated from medical school in 2016
NPI Data:
- NPI Number: 1255785366
- Provider Enumeration Date: 04/15/2016
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608161807
- Enrollment ID: I20201021000930
Medical Identifiers
Medical identifiers for Shannon Ashley Inci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255785366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 8305 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wellstar Medical Group, Llc | 6709065402 | 1917 |
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. Shannon Ashley Inci allows following entities to bill medicare on her behalf.
| Entity Name | Wellstar Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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. Shannon Ashley Inci 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 |
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Shannon Ashley Inci, MD
120 Greystone Power Blvd Ste 100,
Dallas, GA 30157-8297
Ph: (678) 945-8345 | Shannon Ashley Inci, MD
120 Greystone Power Blvd Ste 100,
Dallas, GA 30157-8297
Ph: (678) 945-8345 |
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