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.
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