Kiesha Shelton, in Cleveland, TN - Medicare Nurse Practitioner

Kiesha Shelton, is a medicare enrolled "Nurse Practitioner" in Cleveland, Tennessee. Her current practice location is 2705 Pine Dr Ne, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 495-2525.

Kiesha Shelton is licensed to practice in Tennessee (license number 33548) 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 1649976655.

Contact Information

	Kiesha Shelton,
	2705 Pine Dr Ne, Cleveland, TN 37312-5516
	(423) 495-2525
	Not Available

Map and Direction

Provider's Profile

Full Name	Kiesha Shelton
Gender	Female
Speciality	Nurse Practitioner
Location	2705 Pine Dr Ne, Cleveland, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649976655
Provider Enumeration Date: 02/01/2023
Last Update Date: 03/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4082053376
Enrollment ID: I20240419000583

Medical Identifiers

Medical identifiers for Kiesha Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649976655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	177516 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	33548 (Tennessee)	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. Kiesha Shelton allows following entities to bill medicare on her behalf.

Entity Name	Erlanger Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849

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. Kiesha 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 Address	Practice Location Address
Kiesha Shelton, 2525 Desales Ave, Chattanooga, TN 37404-1161 Ph: () -	Kiesha Shelton, 2705 Pine Dr Ne, Cleveland, TN 37312-5516 Ph: (423) 495-2525

Reviews and Comments

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Kiesha Shelton, - Medicare Nurse Practitioner in Cleveland, TN