Dr Shelley D Shults, DDS, APRN-CNP is a medicare enrolled "Dentist - General Practice" in Powell, Ohio. Her current practice location is
39 Clairedan Drive, Powell, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 436-4433.
Dr Shelley D Shults is licensed to practice in Ohio (license number 21403) 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 1619034204.
Provider's Profile
Full Name | Dr Shelley D Shults |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 39 Clairedan Drive, Powell, Ohio |
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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: 1619034204
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547586356
- Enrollment ID: I20150513001016
Medical Identifiers
Medical identifiers for Dr Shelley D Shults such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619034204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.024180 (Ohio) | Secondary |
1223G0001X | Dentist - General Practice | 21403 (Ohio) | Primary |
207QS1201X | Family Medicine - Sleep Medicine | APRN.CNP.024180 (Ohio) | Secondary |
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. Dr Shelley D Shults 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 |
Dr Shelley D Shults, DDS, APRN-CNP 39 Clairedan Drive, Powell, OH 43065 Ph: (614) 436-4433 | Dr Shelley D Shults, DDS, APRN-CNP 39 Clairedan Drive, Powell, OH 43065 Ph: (614) 436-4433 |
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