Shelby Autumn Lee, OT is a medicare enrolled "Physical Therapist" provider in East Ellijay, Georgia. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Independent Physical Therapy Of Georgia Llc and her current practice location is
190 Old Orchard Sq, East Ellijay, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 273-3131.
Shelby Autumn Lee is licensed to practice in * (Not Available) (license number ) 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 1801465810.
Healthcare Provider's Profile
| Full Name | Shelby Autumn Lee |
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| Gender | Female |
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| Speciality | Occupational Therapy |
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| Experience | 3 Years |
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| Location | 190 Old Orchard Sq, East Ellijay, Georgia |
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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:
- Shelby Autumn Lee graduated from medical school in 2021
NPI Data:
- NPI Number: 1801465810
- Provider Enumeration Date: 06/23/2021
- Last Update Date: 06/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628479474
- Enrollment ID: I20210630001819
Medical Identifiers
Medical identifiers for Shelby Autumn Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801465810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Independent Physical Therapy Of Georgia Llc | 2961312244 | 447 |
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 Autumn Lee allows following entities to bill medicare on her behalf.
| Provider Name | Independent Physical Therapy Of Georgia Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396 |
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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. Shelby Autumn Lee 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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Shelby Autumn Lee, OT
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424
Ph: (423) 541-3263 | Shelby Autumn Lee, OT
190 Old Orchard Sq,
East Ellijay, GA 30540-8172
Ph: (706) 273-3131 |
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