Mr Grover Alexander Shelton Iii, NP in Indianapolis, IN

Mr Grover Alexander Shelton Iii, NP is a medicare enrolled "Nurse Practitioner" in Indianapolis, Indiana. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Community Physicians Of Indiana Inc and his current practice location is 8075 N Shadeland Ave Ste 200, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 621-8500.

Mr Grover Alexander Shelton Iii is licensed to practice in Indiana (license number 71008853A) 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 1316415136.

Contact Information

	Mr Grover Alexander Shelton Iii, NP
	8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250
	(317) 621-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Grover Alexander Shelton Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	8075 N Shadeland Ave Ste 200, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Grover Alexander Shelton Iii attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2018

NPI Data:

NPI Number: 1316415136
Provider Enumeration Date: 11/09/2018
Last Update Date: 10/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8426398942
Enrollment ID: I20190320001908

Medical Identifiers

Medical identifiers for Mr Grover Alexander Shelton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316415136	NPI	-	NPPES
300023898	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	429527 (Ohio)	Secondary
363L00000X	Nurse Practitioner	71008853A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Physicians Of Indiana Inc	1759416662	1292

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. Mr Grover Alexander Shelton Iii allows following entities to bill medicare on his behalf.

Entity Name	University Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316966229 PECOS PAC ID: 9436171949 Enrollment ID: O20051228000112

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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. Mr Grover Alexander Shelton Iii 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
Mr Grover Alexander Shelton Iii, NP 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-7588	Mr Grover Alexander Shelton Iii, NP 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250 Ph: (317) 621-8500

Reviews and Comments

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Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617

Mr Grover Alexander Shelton Iii, NP - Medicare Nurse Practitioner in Indianapolis, IN