Shenelle Wilson, - Medicare Urology in Kingsport, TN

  1. Home
  2. Urology
  3. TN
  4. Kingsport
Shenelle Wilson, is a medicare enrolled "Urology" physician in Kingsport, Tennessee. She went to Morehouse School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Urology. She is a member of the group practice Wellstar Medical Group Llc and her current practice location is 2204 Pavilion Dr Ste 310, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 246-4155.

Shenelle Wilson is licensed to practice in Georgia (license number 85818) 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 1215283775.

Contact Information

Shenelle Wilson,
2204 Pavilion Dr Ste 310,
Kingsport, TN 37660-4653
(423) 246-4155
Not Available

Map and Direction




Physician's Profile

Full NameShenelle Wilson
GenderFemale
SpecialityUrology
Experience12 Years
Location2204 Pavilion Dr Ste 310, Kingsport, Tennessee
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:
  • Shenelle Wilson attended and graduated from Morehouse School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1215283775
  • Provider Enumeration Date: 08/01/2012
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103060843
  • Enrollment ID: I20200603002830

Medical Identifiers

Medical identifiers for Shenelle Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215283775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 36843 (Alabama)Secondary
208800000XUrology 85818 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Spalding Regional HospitalGriffin, GAHospital

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. Shenelle Wilson allows following entities to bill medicare on her behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NameGeorgia Urology, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245250646
PECOS PAC ID: 8921094376
Enrollment ID: O20040422000123
Entity NameWellstar Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameUrological Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033521810
PECOS PAC ID: 9638391717
Enrollment ID: O20141104002579
Entity NameSt Francis Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326749417
PECOS PAC ID: 8729381033
Enrollment ID: O20160120002073
Entity NameMetro Atlanta Urology And Pelvic Health Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174274013
PECOS PAC ID: 9638556012
Enrollment ID: O20220525000485

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. Shenelle Wilson 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
Shenelle Wilson,
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565		Shenelle Wilson,
2204 Pavilion Dr Ste 310,
Kingsport, TN 37660-4653

Ph: (423) 246-4155

Reviews and Comments


Urology Doctors in Kingsport, TN

Dr. Anthony Lee Broglio, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
C Mack Patton, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
Jim R Littlejohn, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
Hugh M. Sullivan,
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 822 Broad St, Kingsport, TN 37660
Phone: 423-246-6251    Fax: 423-246-7230
Grant D Taylor, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Pavilion Dr Ste 310, Kingsport, TN 37660
Phone: 423-246-4155    
Dr. Charles E Payne, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1932 Brookside Drive, Kingsport, TN 37660
Phone: 423-246-4155    Fax: 423-246-7169

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.