Richard Russell Shelton Jr, MD in Buford, GA

Richard Russell Shelton Jr, MD is a medicare enrolled "Pediatrics" physician in Buford, Georgia. His current practice location is 4095 S Lee St, Buford, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 932-8519.

Richard Russell Shelton Jr is licensed to practice in Georgia (license number 043775) 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 1619947769.

Contact Information

	Richard Russell Shelton Jr, MD
	4095 S Lee St, Buford, GA 30518-3647
	(770) 932-8519
	(770) 533-4798

Map and Direction

Physician's Profile

Full Name	Richard Russell Shelton Jr
Gender	Male
Speciality	Pediatrics
Location	4095 S Lee St, Buford, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619947769
Provider Enumeration Date: 01/23/2006
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7214060805
Enrollment ID: I20100803000744

Medical Identifiers

Medical identifiers for Richard Russell Shelton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619947769	NPI	-	NPPES
302587	Other	GA	WELLCARE
52684584	Other	GA	BCBS
5402578	Other	GA	AETNA PPO
8238671	Other	GA	CIGNA
000754157M	Medicaid	GA
000754157P	Medicaid	GA
000754157Q	Medicaid	GA
1939869	Other	GA	UNITED HEALTHCARE
302571	Other	GA	WELLCARE
000754157N	Medicaid	GA
000754157R	Medicaid	GA
10032982	Other	GA	AMERIGROUP
302567	Other	GA	WELLCARE
2276934	Other	GA	AETNA HMO
302588	Other	GA	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	043775 (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. Richard Russell Shelton Jr allows following entities to bill medicare on his behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Richard Russell Shelton Jr 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
Richard Russell Shelton Jr, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Richard Russell Shelton Jr, MD 4095 S Lee St, Buford, GA 30518-3647 Ph: (770) 932-8519

Reviews and Comments

Pediatrics Doctors in Buford, GA

Laura Frantz Putnam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4095 S Lee St, Buford, GA 30518 Phone: 770-932-8519 Fax: 770-533-4798
Scott Gary Parsons, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1435 Broadmoor Blvd, Kaiser Permanente Sugar Hill/buford Medical Center, Buford, GA 30518 Phone: 678-765-5735 Fax: 803-765-9052
Nirmala Bharadwaj, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Ridge Rd, Suite'b', Buford, GA 30519 Phone: 678-804-9398 Fax: 678-804-9415
Jana Renee Himmelbaum, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5629 Holiday Rd, Buford, GA 30518 Phone: 678-765-8622 Fax: 678-765-8621

Richard Russell Shelton Jr, MD - Medicare Pediatrics in Buford, GA