Mark R Shelly, DPM in Encino, CA - Medicare Podiatry Provider

Mark R Shelly, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Encino, California. He went to California School Of Podiatric Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Coast To Coast Foot Doctors and his current practice location is 17609 Ventura Blvd, Ste 210, Encino, California. You can reach out to his office (for appointments etc.) via phone at (818) 708-7668.

Mark R Shelly is licensed to practice in California (license number E3427) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902922149.

Contact Information

	Mark R Shelly, DPM
	17609 Ventura Blvd, Ste 210, Encino, CA 91316-5123
	(818) 708-7668
	(818) 708-9668

Map and Direction

Healthcare Provider's Profile

Full Name	Mark R Shelly
Gender	Male
Speciality	Podiatry
Experience	39 Years
Location	17609 Ventura Blvd, Encino, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark R Shelly attended and graduated from California School Of Podiatric Medicine in 1985

NPI Data:

NPI Number: 1902922149
Provider Enumeration Date: 03/21/2007
Last Update Date: 02/14/2017

Medicare PECOS Information:

PECOS PAC ID: 5597714519
Enrollment ID: I20050118000189

Medical Identifiers

Medical identifiers for Mark R Shelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902922149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	E3427 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coast To Coast Foot Doctors	3072971100	5

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. Mark R Shelly allows following entities to bill medicare on his behalf.

Provider Name	Coast To Coast Foot Doctors
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558064246 PECOS PAC ID: 3072971100 Enrollment ID: O20230622001659

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. Mark R Shelly 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
Mark R Shelly, DPM 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000	Mark R Shelly, DPM 17609 Ventura Blvd, Ste 210, Encino, CA 91316-5123 Ph: (818) 708-7668

Reviews and Comments

Podiatrist in Encino, CA

Dawn R. Buratti, D.p.m., Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 5400 Balboa Blvd Ste 325, Encino, CA 91316 Phone: 818-701-6300 Fax: 866-513-4995
Gilman Podiatry, A Prof. Corp Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17777 Ventura Blvd, Suite 230, Encino, CA 91316 Phone: 818-905-1000 Fax: 818-342-1609
Tower Podiatry-the Foot And Ankle Surgical Institute Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd, Suite 705, Encino, CA 91436 Phone: 310-657-2828 Fax: 310-657-9733
Leonora Fihman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5400 Balboa Blvd, Encino, CA 91316 Phone: 818-907-6100
Maurice R Masliah Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 5400 Balboa Blvd Ste 225, Encino, CA 91316 Phone: 818-981-3344 Fax: 818-981-4777
Dr. Majid Seyedin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17777 Ventura Blvd, 252, Encino, CA 91316 Phone: 323-912-9220 Fax: 818-221-0534
Leonora Fihman, Dpm, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 5400 Balboa Blvd, 321, Encino, CA 91316 Phone: 818-907-6110

Mark R Shelly, DPM - Medicare Podiatrist in Encino, CA