Eugene Herman Shively, MD - Medicare Surgery in Campbellsville, KY

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Eugene Herman Shively, MD is a medicare enrolled "Surgery" physician in Campbellsville, Kentucky. His current practice location is 1698 Old Lebanon Rd, Suite 2a, Campbellsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 465-2821.

Eugene Herman Shively is licensed to practice in Kentucky (license number 15931) 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 1396720132.

Contact Information

Eugene Herman Shively, MD
1698 Old Lebanon Rd, Suite 2a,
Campbellsville, KY 42718-9662
(270) 465-2821
(270) 789-1756

Map and Direction




Physician's Profile

Full NameEugene Herman Shively
GenderMale
SpecialitySurgery
Location1698 Old Lebanon Rd, Campbellsville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396720132
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 09/20/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4880616010
  • Enrollment ID: I20051230000453

Medical Identifiers

Medical identifiers for Eugene Herman Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396720132NPI-NPPES
64159312MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 15931 (Kentucky)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. Eugene Herman Shively allows following entities to bill medicare on his behalf.
Entity NameTaylor Regional Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174697601
PECOS PAC ID: 4880616622
Enrollment ID: O20051221000527
Entity NameJane Todd Crawford Memorial Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144296658
PECOS PAC ID: 5092810994
Enrollment ID: O20080613000060
Entity NameTaylor Regional Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699030031
PECOS PAC ID: 4880616622
Enrollment ID: O20120827000184
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210209002652

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. Eugene Herman Shively 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 AddressPractice Location Address
Eugene Herman Shively, MD
1698 Old Lebanon Rd,
Campbellsville, KY 42718-9662

Ph: (270) 465-2821		Eugene Herman Shively, MD
1698 Old Lebanon Rd, Suite 2a,
Campbellsville, KY 42718-9662

Ph: (270) 465-2821

Reviews and Comments


Surgery Doctors in Campbellsville, KY

Dr. Meredith Angel, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1698 Old Lebanon Rd, Campbellsville, KY 42718
Phone: 270-789-2471    Fax: 270-465-4669
David Eric Bentley, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1878 Old Lebanon Rd, Campbellsville, KY 42718
Phone: 270-465-7505    Fax: 270-789-3860
Michael Henry Bahr, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1698 Old Lebanon Rd # 2a, Campbellsville, KY 42718
Phone: 270-789-0587    Fax: 270-789-1756
James Monroe Watkins, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718
Phone: 270-465-2821    Fax: 270-789-1756
Mr. Robert Burns Romines, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 325 E Broadway St, Campbellsville, KY 42718
Phone: 270-937-9030    Fax: 270-789-4664
Dr. Graham Dean Englund, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718
Phone: 270-789-0587    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.