Mrs Shelly C Mccormick, MD in West Monroe, LA

Mrs Shelly C Mccormick, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in West Monroe, Louisiana. Her current practice location is 503 Mcmillan Rd, West Monroe, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 329-8310.

Mrs Shelly C Mccormick is licensed to practice in Louisiana (license number 021354) 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 1790778496.

Contact Information

	Mrs Shelly C Mccormick, MD
	503 Mcmillan Rd, West Monroe, LA 71291
	(318) 329-8310
	(318) 329-8313

Map and Direction

Physician's Profile

Full Name	Mrs Shelly C Mccormick
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	503 Mcmillan Rd, West Monroe, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790778496
Provider Enumeration Date: 08/26/2005
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1254714702
Enrollment ID: I20220816000665

Medical Identifiers

Medical identifiers for Mrs Shelly C Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790778496	NPI	-	NPPES
1551104	Medicaid	LA
0024372	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35C.000651 (Ohio)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	30575 (Mississippi)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	021354 (Louisiana)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	30575 (Mississippi)	Secondary
208M00000X	Hospitalist	35C.000651 (Ohio)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	021354 (Louisiana)	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. Mrs Shelly C Mccormick allows following entities to bill medicare on her behalf.

Entity Name	Cookeville Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275531956 PECOS PAC ID: 7810805736 Enrollment ID: O20040921001310

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. Mrs Shelly C Mccormick 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
Mrs Shelly C Mccormick, MD 3811 Woodside Dr, Monroe, LA 71201 Ph: (318) 398-7326	Mrs Shelly C Mccormick, MD 503 Mcmillan Rd, West Monroe, LA 71291 Ph: (318) 329-8310

Reviews and Comments

Pediatrics Doctors in West Monroe, LA

Cresha Tanara-tulani Davis, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 122 Professional Dr, West Monroe, LA 71291 Phone: 318-807-4611 Fax: 318-807-4615
Marilyn Grisham Bivens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 Contempo Ave, West Monroe, LA 71291 Phone: 318-329-8181 Fax: 318-329-8183
Dr. Cynthia Petrus Bimle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Contempo, Suite A, West Monroe, LA 71291 Phone: 318-388-5030
Terry Dean King, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pavilion Rd, West Monroe, LA 71292 Phone: 318-323-1100 Fax: 318-323-1161
Kadie Bimle Frost, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Contempo Ave., Suite 2, West Monroe, LA 71291 Phone: 318-324-0111 Fax: 318-324-9679
Brandon Lane Phillips, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pavilion Rd, West Monroe, LA 71292 Phone: 318-323-1100

Mrs Shelly C Mccormick, MD - Medicare Pediatrics in West Monroe, LA