Dr Sheliza Ali, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Lexington, Kentucky. Her current practice location is
740 S Limestone Ste B101, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 323-5661.
Dr Sheliza Ali is licensed to practice in Kentucky (license number 279706) 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 1093429730.
Healthcare Provider's Profile
| Full Name | Dr Sheliza Ali |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 740 S Limestone Ste B101, Lexington, Kentucky |
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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: 1093429730
- Provider Enumeration Date: 01/09/2023
- Last Update Date: 02/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769855725
- Enrollment ID: I20230222002684
Medical Identifiers
Medical identifiers for Dr Sheliza Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093429730 | NPI | - | NPPES |
| 279706 | Other | KY | KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 279706 (Kentucky) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 279706 (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. Dr Sheliza Ali allows following entities to bill medicare on her behalf.
| Entity Name | University Of Kentucky |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072 |
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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. Dr Sheliza Ali 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 |
|---|
Dr Sheliza Ali, PHD
2013 Lawton Flt,
Lexington, KY 40509-4624
Ph: () - | Dr Sheliza Ali, PHD
740 S Limestone Ste B101,
Lexington, KY 40536-0001
Ph: (859) 323-5661 |
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