Edward George Shelleby, PHD is a medicare enrolled "Psychologist - Clinical" provider in Wyoming, Ohio. His current practice location is
115 Elm Ave, Wyoming, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 559-2066.
Edward George Shelleby is licensed to practice in Ohio (license number 2897) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124186267.
Healthcare Provider's Profile
| Full Name | Edward George Shelleby |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 115 Elm Ave, Wyoming, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1124186267
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517132780
- Enrollment ID: I20111216000401
Medical Identifiers
Medical identifiers for Edward George Shelleby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124186267 | NPI | - | NPPES |
| 0410380 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2897 (Ohio) | 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. Edward George Shelleby allows following entities to bill medicare on his behalf.
| Entity Name | Central Community Health Board Of Hamilton County, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1972617728
PECOS PAC ID: 6608800792
Enrollment ID: O20050919000509 |
|---|
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. Edward George Shelleby 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 |
|---|
Edward George Shelleby, PHD
115 Elm Ave,
Wyoming, OH 45215-4325
Ph: (513) 559-2066 | Edward George Shelleby, PHD
115 Elm Ave,
Wyoming, OH 45215-4325
Ph: (513) 559-2066 |
Reviews and Comments