Shaunda Elyse Kelly, MD, DMD in Birmingham, AL

Shaunda Elyse Kelly, MD, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Birmingham, Alabama. Her current practice location is 2000 6th Ave S, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 934-9999.

Shaunda Elyse Kelly is licensed to practice in Alabama (license number 5395) 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 1659540508.

Contact Information

	Shaunda Elyse Kelly, MD, DMD
	2000 6th Ave S, Birmingham, AL 35233-2110
	(205) 934-9999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shaunda Elyse Kelly
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	2000 6th Ave S, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659540508
Provider Enumeration Date: 02/25/2008
Last Update Date: 03/14/2012

Medicare PECOS Information:

PECOS PAC ID: 8022377563
Enrollment ID: I20210715002555

Medical Identifiers

Medical identifiers for Shaunda Elyse Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659540508	NPI	-	NPPES
051118224	Other	AL	BCBS
130496	Medicaid	AL
Z17060	Other	AL	VIVA
130492	Medicaid	AL
01281210	Medicaid	MS
130497	Medicaid	AL
051118219	Other	AL	BCBS
051118223	Other	AL	BCBS
051118226	Other	AL	BCBS
130494	Medicaid	AL
051118221	Other	AL	BCBS
130495	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	5395 (Alabama)	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. Shaunda Elyse Kelly allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

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. Shaunda Elyse Kelly 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
Shaunda Elyse Kelly, MD, DMD Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701	Shaunda Elyse Kelly, MD, DMD 2000 6th Ave S, Birmingham, AL 35233-2110 Ph: (205) 934-9999

Reviews and Comments

Dentist in Birmingham, AL

Van Thanh Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 631 Bessemer Super Highway, Birmingham, AL 35228 Phone: 205-933-9110
Dr. Ryan Chase Seeley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-4507
Aissar N Sahori, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-3387
Donald Guy Rosenstiel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1600 Deo Dara Dr, Birmingham, AL 35226 Phone: 205-979-8655
Dr. Victor F. Kyatt Iii, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Brookwood Medical Ctr Dr, Suite 6, Birmingham, AL 35209 Phone: 205-871-1229
Dr. Eric M. Blasingame, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-4551 Fax: 205-547-0486
Dr. Alvin Willis Stevens Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Century Park S, Suite 200, Birmingham, AL 35226 Phone: 205-822-3222 Fax: 205-822-3504

Shaunda Elyse Kelly, MD, DMD - Medicare Dentist in Birmingham, AL