Shelli Elaine Conyers-votaw, is a medicare enrolled "Nurse Practitioner - Family" in Burgin, Kentucky. 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 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 1114052701.
Provider's Profile
Full Name | Shelli Elaine Conyers-votaw |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 710 Walter Reed Rd., Burgin, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
1114052701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3245P (Kentucky) | 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. 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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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 |
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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