Shelley Creighton, CNM is a medicare enrolled "Midwife" in Meridian, Mississippi. Her current practice location is
1020 22nd Ave Ste B, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 703-1003.
Shelley Creighton is licensed to practice in Mississippi (license number 899572) 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 1790207702.
Provider's Profile
| Full Name | Shelley Creighton |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 1020 22nd Ave Ste B, Meridian, Mississippi |
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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: 1790207702
- Provider Enumeration Date: 07/11/2017
- Last Update Date: 11/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901156652
- Enrollment ID: I20180830001912
Medical Identifiers
Medical identifiers for Shelley Creighton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790207702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 23188 (Tennessee) | Secondary |
| 176B00000X | Midwife | 899572 (Mississippi) | 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. Shelley Creighton allows following entities to bill medicare on her behalf.
| Entity Name | Scott Regional Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639367188
PECOS PAC ID: 0648366260
Enrollment ID: O20080423000448 |
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| Entity Name | Anderson Physician Alliance Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760798227
PECOS PAC ID: 3274727318
Enrollment ID: O20101102000877 |
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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. Shelley Creighton 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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Shelley Creighton, CNM
Po Box 5208,
Meridian, MS 39302-5208
Ph: (601) 486-4210 | Shelley Creighton, CNM
1020 22nd Ave Ste B,
Meridian, MS 39301-5001
Ph: (601) 703-1003 |
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