Shelby Marie Potkin, MD - Medicare Ophthalmology in Bemidji, MN

Shelby Marie Potkin, MD is a medicare enrolled "Ophthalmology" physician in Bemidji, Minnesota. She went to Oakland Univ, William Beaumont School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Sanford Health Of Northern Minnesota and her current practice location is 1611 Anne St Nw, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 333-2020.

Shelby Marie Potkin is licensed to practice in California (license number A206239) 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 1184184277.

Contact Information

Shelby Marie Potkin, MD
1611 Anne St Nw,
Bemidji, MN 56601-5114
(218) 333-2020
Not Available

Map and Direction




Physician's Profile

Full NameShelby Marie Potkin
GenderFemale
SpecialityOphthalmology
Experience7 Years
Location1611 Anne St Nw, Bemidji, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelby Marie Potkin attended and graduated from Oakland Univ, William Beaumont School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1184184277
  • Provider Enumeration Date: 03/23/2019
  • Last Update Date: 05/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2769849900
  • Enrollment ID: I20231004002569

Medical Identifiers

Medical identifiers for Shelby Marie Potkin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184184277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology A206239 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207W00000XOphthalmology 74023 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Bemidji Medical CenterBemidji, MNHospital
Lifecare Medical CenterRoseau, MNHospital
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Health Of Northern Minnesota5597725168354

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. Shelby Marie Potkin allows following entities to bill medicare on her behalf.
Entity NameSanford Health Of Northern Minnesota
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770849697
PECOS PAC ID: 5597725168
Enrollment ID: O20041025000442
Entity NameLifecare Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1609861095
PECOS PAC ID: 4789586884
Enrollment ID: O20061104000664
Entity NameSanford Health Network North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386047355
PECOS PAC ID: 8022206663
Enrollment ID: O20180205002429

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. Shelby Marie Potkin 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
Shelby Marie Potkin, MD
2456 248th St,
Lomita, CA 90717-1515

Ph: (831) 332-7168
Shelby Marie Potkin, MD
1611 Anne St Nw,
Bemidji, MN 56601-5114

Ph: (218) 333-2020

Reviews and Comments


Ophthalmology Doctors in Bemidji, MN

Ashley Marie Lundin, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1611 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-2020    
Mark A Shanfeld, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1611 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-2020    
Mark S Dwyer, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 1611 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-2020    Fax: 218-333-2019

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.