Dr Carl Randolph Shelton, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Edgewood, Kentucky. He went to Temple University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. His current practice location is
201 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(407) 681-2241.
Dr Carl Randolph Shelton is licensed to practice in Kentucky (license number 45121) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588651715.
Physician's Profile
| Full Name | Dr Carl Randolph Shelton |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 37 Years |
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| Location | 201 Medical Village Dr, Edgewood, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carl Randolph Shelton attended and graduated from Temple University School Of Medicine in 1987
NPI Data:
- NPI Number: 1588651715
- Provider Enumeration Date: 10/03/2005
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577553759
- Enrollment ID: I20120626000221
Medical Identifiers
Medical identifiers for Dr Carl Randolph Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588651715 | NPI | - | NPPES |
| 0113641000 | Medicaid | WV | |
| 7100210600 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 16669 (West Virginia) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 45121 (Kentucky) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 16669 (West Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 45121 (Kentucky) | Primary |
Medical Facilities Affiliation
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 Carl Randolph Shelton allows following entities to bill medicare on his behalf.
| Entity Name | Medical Rehabilitation Associates Inc Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871580969
PECOS PAC ID: 8426048604
Enrollment ID: O20120621000457 |
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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 Carl Randolph Shelton 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 |
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Dr Carl Randolph Shelton, MD
201 Medical Village Dr,
Edgewood, KY 41017-3407
Ph: (407) 681-2241 | Dr Carl Randolph Shelton, MD
201 Medical Village Dr,
Edgewood, KY 41017-3407
Ph: (407) 681-2241 |
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