Dr Shelby Grace Gillen, AUD is a medicare enrolled "Audiologist" provider in Montgomery Village, Maryland. Her current practice location is
19110 Montgomery Village Ave Ste 120, Montgomery Village, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 977-6317.
Dr Shelby Grace Gillen is licensed to practice in Virginia (license number 2201001975) 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 1962244863.
Healthcare Provider's Profile
Full Name | Dr Shelby Grace Gillen |
---|
Gender | Female |
---|
Speciality | Audiologist |
---|
Location | 19110 Montgomery Village Ave Ste 120, Montgomery Village, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962244863
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 05/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719422542
- Enrollment ID: I20240716003250
Medical Identifiers
Medical identifiers for Dr Shelby Grace Gillen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962244863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 2201001975 (Virginia) | Secondary |
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 Shelby Grace Gillen allows following entities to bill medicare on her behalf.
Provider Name | Centers For Advanced Ent Care Llc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1447781620 PECOS PAC ID: 1658647359 Enrollment ID: O20171025001018 |
---|
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 Shelby Grace Gillen 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 Shelby Grace Gillen, AUD 19110 Montgomery Village Ave Ste 120, Montgomery Village, MD 20886-3706 Ph: (301) 977-6317 | Dr Shelby Grace Gillen, AUD 19110 Montgomery Village Ave Ste 120, Montgomery Village, MD 20886-3706 Ph: (301) 977-6317 |
Reviews and Comments