Tommy Warren Shelton, MD - Medicare General Surgery in Somerset, KY

Tommy Warren Shelton, MD is a medicare enrolled "Surgery" physician in Somerset, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Russell County Hospital and his current practice location is 350 Hospital Way, Suite 270, Somerset, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 425-4298.

Tommy Warren Shelton is licensed to practice in Kentucky (license number 41582) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770617854.

Contact Information

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

Map and Direction




Physician's Profile

Full NameTommy Warren Shelton
GenderMale
SpecialityGeneral Surgery
Experience22 Years
Location350 Hospital Way, Somerset, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tommy Warren Shelton attended and graduated from University Of Kentucky College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1770617854
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 01/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9234202326
  • Enrollment ID: I20080723000317

Medical Identifiers

Medical identifiers for Tommy Warren Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770617854NPI-NPPES
00675001OtherKYMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 41582 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Russell County HospitalRussell springs, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Russell County Hospital620488724322

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. Tommy Warren Shelton allows following entities to bill medicare on his behalf.
Entity NameRussell County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437245842
PECOS PAC ID: 6204887243
Enrollment ID: O20050217000172
Entity NameLake Cumberland Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811356892
PECOS PAC ID: 2567510464
Enrollment ID: O20090504000210

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. Tommy Warren 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
Tommy Warren Shelton, MD
350 Hospital Way, Suite 270,
Somerset, KY 42503-2872

Ph: (606) 425-4298
Tommy Warren Shelton, MD
350 Hospital Way, Suite 270,
Somerset, KY 42503-2872

Ph: (606) 425-4298

Reviews and Comments


Surgery Doctors in Somerset, KY

Rachel 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
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
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.