Dr Shelley A Griffin, MD is a medicare enrolled "Pediatrics" physician in Waynesboro, Georgia. His current practice location is
305 Jones Ave, Waynesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 554-5147.
Dr Shelley A Griffin is licensed to practice in Georgia (license number 16238) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336182203.
Physician's Profile
| Full Name | Dr Shelley A Griffin |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 305 Jones Ave, Waynesboro, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336182203
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 04/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 5294643821
- Enrollment ID: I20100414000592
Medical Identifiers
Medical identifiers for Dr Shelley A Griffin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336182203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 16238 (Georgia) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 16238 (Georgia) | 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 Shelley A Griffin allows following entities to bill medicare on his behalf.
| Entity Name | Medical Specialists |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063459899 PECOS PAC ID: 0840108478 Enrollment ID: O20040608000199 |
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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 Shelley A Griffin 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 Shelley A Griffin, MD 305 Jones Ave, Waynesboro, GA 30830-1510 Ph: (706) 554-5147 | Dr Shelley A Griffin, MD 305 Jones Ave, Waynesboro, GA 30830-1510 Ph: (706) 554-5147 |
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