Mrs Shannon Leigh Colvin Bentley, RNC CNM is a medicare enrolled "Advanced Practice Midwife" in Douglasville, Georgia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is
6095 Professional Pkwy, Suite A210, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 949-4188.
Mrs Shannon Leigh Colvin Bentley is licensed to practice in Georgia (license number 144273) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366672107.
Provider's Profile
| Full Name | Mrs Shannon Leigh Colvin Bentley |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 16 Years |
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| Location | 6095 Professional Pkwy, Douglasville, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Shannon Leigh Colvin Bentley graduated from nursing school in 2008
NPI Data:
- NPI Number: 1366672107
- Provider Enumeration Date: 07/14/2009
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961532536
- Enrollment ID: I20100608000316
Medical Identifiers
Medical identifiers for Mrs Shannon Leigh Colvin Bentley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366672107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 144273 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wellstar Medical Group, Llc | 6709065402 | 1917 |
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. Mrs Shannon Leigh Colvin Bentley allows following entities to bill medicare on her behalf.
| Entity Name | Wellstar Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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. Mrs Shannon Leigh Colvin Bentley 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 |
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Mrs Shannon Leigh Colvin Bentley, RNC CNM
6095 Professional Pkwy, Suite A210,
Douglasville, GA 30134-5607
Ph: (770) 949-4188 | Mrs Shannon Leigh Colvin Bentley, RNC CNM
6095 Professional Pkwy, Suite A210,
Douglasville, GA 30134-5607
Ph: (770) 949-4188 |
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