Shana B Deloach, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Athens, Georgia. Her current practice location is
242 King Avenue Ste 120, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 475-5700.
Shana B Deloach is licensed to practice in Georgia (license number RN216236) 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 1609218601.
Physician's Profile
| Full Name | Shana B Deloach |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 242 King Avenue Ste 120, Athens, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1609218601
- Provider Enumeration Date: 07/19/2013
- Last Update Date: 02/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496980757
- Enrollment ID: I20131023000846
Medical Identifiers
Medical identifiers for Shana B Deloach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609218601 | NPI | - | NPPES |
| 003142037L | Medicaid | GA | |
| 04702359 | Other | GA | AMERIGROUP |
| 003142037K | Medicaid | GA | |
| 003142037J | Medicaid | GA | |
| 003142037M | Medicaid | GA | |
| 1368524 | Other | GA | WELLCARE |
| 003142037O | Medicaid | GA | |
| 003142037N | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | RN216236 (Georgia) | Secondary |
| 367A00000X | Advanced Practice Midwife | RN216236 (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. Shana B Deloach allows following entities to bill medicare on her 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 |
|---|
| Entity Name | Piedmont Athens Hospitalist Physicians Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1578079000
PECOS PAC ID: 6305196411
Enrollment ID: O20180911003967 |
|---|
| Entity Name | Piedmont Athens Specialty Care Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1184130627
PECOS PAC ID: 8820349772
Enrollment ID: O20180917001273 |
|---|
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. Shana B Deloach 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 |
|---|
Shana B Deloach, CNM
242 King Avenue Ste 120,
Athens, GA 30606
Ph: (706) 475-5700 | Shana B Deloach, CNM
242 King Avenue Ste 120,
Athens, GA 30606
Ph: (706) 475-5700 |
Reviews and Comments