Shelli Elaine Conyers-votaw, is a medicare enrolled "Nurse Practitioner - Family" in Burgin, Kentucky. She graduated from nursing school in 2000 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Taylor Regional Medical Group, Llc and her current practice location is
710 Walter Reed Rd., Burgin, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 239-7012.
Shelli Elaine Conyers-votaw is licensed to practice in Kentucky (license number 3245P) 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 1114052701.
Provider's Profile
| Full Name | Shelli Elaine Conyers-votaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 26 Years |
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| Location | 710 Walter Reed Rd., Burgin, Kentucky |
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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:
- Shelli Elaine Conyers-votaw graduated from nursing school in 2000
NPI Data:
- NPI Number: 1114052701
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5799713756
- Enrollment ID: I20050801000252
Medical Identifiers
Medical identifiers for Shelli Elaine Conyers-votaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114052701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3245P (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Taylor Regional Medical Group, Llc | 4880616622 | 63 |
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. Shelli Elaine Conyers-votaw allows following entities to bill medicare on her behalf.
| Entity Name | Brock Medical, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023379815
PECOS PAC ID: 9830354638
Enrollment ID: O20120628000567 |
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| Entity Name | Taylor Regional Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699030031
PECOS PAC ID: 4880616622
Enrollment ID: O20120827000184 |
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| Entity Name | Spivey Medical, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093199242
PECOS PAC ID: 1355650300
Enrollment ID: O20151014002265 |
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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. Shelli Elaine Conyers-votaw 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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Shelli Elaine Conyers-votaw,
225 Spears Ln,
Danville, KY 40422-8618
Ph: () - | Shelli Elaine Conyers-votaw,
710 Walter Reed Rd.,
Burgin, KY 40310
Ph: (859) 239-7012 |
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