Mrs Shelley L Velickoff, ANP - Medicare Nurse Practitioner in West Lafayette, IN

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Mrs Shelley L Velickoff, ANP is a medicare enrolled "Dermatology" in West Lafayette, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Randall Dermatology, Pc and her current practice location is 124 Sagamore Pkwy W., West Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 463-6722.

Mrs Shelley L Velickoff is licensed to practice in Indiana (license number 71011005A) 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 1811246531.

Contact Information

Mrs Shelley L Velickoff, ANP
124 Sagamore Pkwy W.,
West Lafayette, IN 47906
(765) 463-6722
(765) 463-0905

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Provider's Profile

Full NameMrs Shelley L Velickoff
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location124 Sagamore Pkwy W., West Lafayette, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shelley L Velickoff graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1811246531
  • Provider Enumeration Date: 09/10/2012
  • Last Update Date: 05/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820226178
  • Enrollment ID: I20210712001728

Medical Identifiers

Medical identifiers for Mrs Shelley L Velickoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811246531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP60277759 (Washington)Secondary
207N00000XDermatology 71011005A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Randall Dermatology, Pc367867532910

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 Shelley L Velickoff allows following entities to bill medicare on her behalf.
Entity NameRandall Dermatology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245340488
PECOS PAC ID: 3678675329
Enrollment ID: O20070227000078

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 Shelley L Velickoff 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 AddressPractice Location Address
Mrs Shelley L Velickoff, ANP
124 Sagamore Pkwy W.,
West Lafayette, IN 47906

Ph: (765) 463-6722		Mrs Shelley L Velickoff, ANP
124 Sagamore Pkwy W.,
West Lafayette, IN 47906

Ph: (765) 463-6722

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.