Shaunese Derae Singleton, MD is a medicare enrolled "Pediatrics" physician in Belmont, North Carolina. Her current practice location is
209 Park St, Suite 500, Belmont, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 829-0025.
Shaunese Derae Singleton is licensed to practice in North Carolina (license number 200100958) 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 1477637080.
Physician's Profile
| Full Name | Shaunese Derae Singleton |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 209 Park St, Belmont, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477637080
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 12/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 8123197126
- Enrollment ID: I20081031000473
Medical Identifiers
Medical identifiers for Shaunese Derae Singleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477637080 | NPI | - | NPPES |
| 229425 | Medicaid | SC | |
| 5905500 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 200100958 (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. Shaunese Derae Singleton allows following entities to bill medicare on her behalf.
| Entity Name | Caromont Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356314272
PECOS PAC ID: 3577476258
Enrollment ID: O20031201000070 |
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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. Shaunese Derae Singleton 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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Shaunese Derae Singleton, MD
209 Park St, Suite 500,
Belmont, NC 28012-5205
Ph: (704) 829-0025 | Shaunese Derae Singleton, MD
209 Park St, Suite 500,
Belmont, NC 28012-5205
Ph: (704) 829-0025 |
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