Shelby George Blevins Iii, in Mount Airy, NC - Medicare Nurse Practitioner

Shelby George Blevins Iii, is a medicare enrolled "Nurse Practitioner - Family" in Mount Airy, North Carolina. His current practice location is 113 Scenic Outlet Ln Ste 2, Mount Airy, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 352-4900.

Shelby George Blevins Iii is licensed to practice in North Carolina (license number 272698) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982302618.

Contact Information

	Shelby George Blevins Iii,
	113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978
	(336) 352-4900
	(336) 352-4901

Map and Direction

Provider's Profile

Full Name	Shelby George Blevins Iii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	113 Scenic Outlet Ln Ste 2, Mount Airy, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982302618
Provider Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 6406212778
Enrollment ID: I20230512000373

Medical Identifiers

Medical identifiers for Shelby George Blevins Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982302618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	272698 (North Carolina)	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. Shelby George Blevins Iii allows following entities to bill medicare on his behalf.

Entity Name	Challie Minton, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790298024 PECOS PAC ID: 5597180802 Enrollment ID: O20200804001324

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. Shelby George Blevins 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
Shelby George Blevins Iii, 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978 Ph: (336) 352-4900	Shelby George Blevins Iii, 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978 Ph: (336) 352-4900

Reviews and Comments

Nurse Practitioner Nurses in Mount Airy, NC

Rebecca Reed, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492
Mrs. Mallory Williams Grose, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 694 Riverside Dr, Mount Airy, NC 27030 Phone: 336-719-7892 Fax: 336-719-7898
Dr. Marian Patricia Michel, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Old Rockford St, Mount Airy, NC 27030 Phone: 336-719-0400 Fax: 336-719-0582
Amy Leigh Puckett-lawson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Rockford St Ste 1400, Mount Airy, NC 27030 Phone: 336-719-0398 Fax: 336-719-0494
Natalie Susanne Hall, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 S South St, Mount Airy, NC 27030 Phone: 336-786-4522 Fax: 336-789-3025
David Allen Bishop Jr., RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030 Phone: 336-939-5660
Brittany Knicely Street, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-786-4133 Fax: 336-783-3417

Shelby George Blevins Iii, - Medicare Nurse Practitioner in Mount Airy, NC