Lori Sumerford Shelton, PA-C is a medicare enrolled "Physician Assistant" in Spencer, Tennessee. Her current practice location is
476 Spring St, Spencer, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 946-2113.
Lori Sumerford Shelton is licensed to practice in Tennessee (license number 1813) 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 1164518254.
Provider's Profile
| Full Name | Lori Sumerford Shelton |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 476 Spring St, Spencer, Tennessee |
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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: 1164518254
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 11/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 0749384865
- Enrollment ID: I20070329000614
Medical Identifiers
Medical identifiers for Lori Sumerford Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164518254 | NPI | - | NPPES |
| 1164518254 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 0110002308 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110002308 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110002308 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 1813 (Tennessee) | Primary |
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. Lori Sumerford 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 |
|---|
Lori Sumerford Shelton, PA-C
457 Vista Dr,
Sparta, TN 38583-1360
Ph: (931) 738-3383 | Lori Sumerford Shelton, PA-C
476 Spring St,
Spencer, TN 38585-3026
Ph: (931) 946-2113 |
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