Shelly Marie Spaulding, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Washington, Louisiana. Her current practice location is
536 Veterans Memorial Blvd, Washington, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 826-7702.
Shelly Marie Spaulding is licensed to practice in Louisiana (license number 227434) 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 1801510235.
Physician's Profile
Full Name | Shelly Marie Spaulding |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 536 Veterans Memorial Blvd, Washington, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801510235
- Provider Enumeration Date: 09/29/2022
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476927070
- Enrollment ID: I20230322001707
Medical Identifiers
Medical identifiers for Shelly Marie Spaulding such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801510235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 227434 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 227434 (Louisiana) | 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. Shelly Marie Spaulding allows following entities to bill medicare on her behalf.
Entity Name | St Landry Family Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376911735 PECOS PAC ID: 8729382346 Enrollment ID: O20160307001009 |
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Entity Name | Lhcg Clxix Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891309506 PECOS PAC ID: 8022436120 Enrollment ID: O20200921002985 |
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Entity Name | Lhc Group Health Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083293096 PECOS PAC ID: 5991109969 Enrollment ID: O20210812002987 |
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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. Shelly Marie Spaulding 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 |
Shelly Marie Spaulding, NP 111 Woodhaven Rd, Youngsville, LA 70592-6283 Ph: (308) 390-6186 | Shelly Marie Spaulding, NP 536 Veterans Memorial Blvd, Washington, LA 70589 Ph: (337) 826-7702 |
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