Patricia Ann Shively, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Peachtree Corners, Georgia. She went to University Of Louisville School Of Medicine and graduated in 1975 and has 50 years of diverse experience with area of expertise as Psychiatry. Her current practice location is
5425 Peachtree Pkwy Ste 248, Peachtree Corners, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 448-6468.
Patricia Ann Shively is licensed to practice in Georgia (license number 016981) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306068317.
Physician's Profile
| Full Name | Patricia Ann Shively |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 50 Years |
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| Location | 5425 Peachtree Pkwy Ste 248, Peachtree Corners, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Patricia Ann Shively attended and graduated from University Of Louisville School Of Medicine in 1975
NPI Data:
- NPI Number: 1306068317
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 04/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638206535
- Enrollment ID: I20100426000204
Medical Identifiers
Medical identifiers for Patricia Ann Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306068317 | NPI | - | NPPES |
| 000111944E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 016981 (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. Patricia Ann Shively allows following entities to bill medicare on her behalf.
| Entity Name | Department Of Behavioral Health And Developmental Disabilities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
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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. Patricia Ann 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 Address | Practice Location Address |
Patricia Ann Shively, MD 5425 Peachtree Pkwy Ste 248, Peachtree Corners, GA 30092-6536 Ph: (770) 448-6468 | Patricia Ann Shively, MD 5425 Peachtree Pkwy Ste 248, Peachtree Corners, GA 30092-6536 Ph: (770) 448-6468 |
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