Kelly J Shea-miller, PH D in Jonesboro, GA - Medicare Audiologist Provider

Kelly J Shea-miller, PH D is a medicare enrolled "Audiologist" provider in Jonesboro, Georgia. Her current practice location is 2470 Mount Zion Pkwy, Department Of Ent, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 603-3542.

Kelly J Shea-miller is licensed to practice in Georgia (license number AUD003458) 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 1831221068.

Contact Information

	Kelly J Shea-miller, PH D
	2470 Mount Zion Pkwy, Department Of Ent, Jonesboro, GA 30236-2500
	(770) 603-3542
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly J Shea-miller
Gender	Female
Speciality	Audiologist
Location	2470 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831221068
Provider Enumeration Date: 03/12/2007
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 9032214655
Enrollment ID: I20070410000401

Medical Identifiers

Medical identifiers for Kelly J Shea-miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831221068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AUD003458 (Georgia)	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. Kelly J Shea-miller allows following entities to bill medicare on her behalf.

Provider Name	The Southeast Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Kelly J Shea-miller 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
Kelly J Shea-miller, PH D 4563 Holliston Road, Atlanta, GA 30360 Ph: (770) 454-8890	Kelly J Shea-miller, PH D 2470 Mount Zion Pkwy, Department Of Ent, Jonesboro, GA 30236-2500 Ph: (770) 603-3542

Reviews and Comments

Audiologist in Jonesboro, GA

Dr. Jelani Conway, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2470 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 800-611-1811
Dr. Bailey Johnson, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2470 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966
Victoria Anne Hamilton, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2470 Mount Zion Pkwy, Department Of Audiology, Jonesboro, GA 30236 Phone: 770-603-3977

Kelly J Shea-miller, PH D - Medicare Audiologist in Jonesboro, GA