Shimels Haylie, is a medicare enrolled "Hospitalist" physician in Valdosta, Georgia. His current practice location is
2501 N Patterson St, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 333-1000.
Shimels Haylie is licensed to practice in Georgia (license number 76334) 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 1619219870.
Physician's Profile
| Full Name | Shimels Haylie |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 2501 N Patterson St, Valdosta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619219870
- Provider Enumeration Date: 03/26/2013
- Last Update Date: 12/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830482025
- Enrollment ID: I20160726001379
Medical Identifiers
Medical identifiers for Shimels Haylie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619219870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 76334 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 76334 (Georgia) | Primary |
| 208D00000X | General Practice | 76334 (Georgia) | Secondary |
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. Shimels Haylie allows following entities to bill medicare on his behalf.
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545 |
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| Entity Name | Apogee Medical Group Georgia |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629025143
PECOS PAC ID: 4587676945
Enrollment ID: O20060629000214 |
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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. Shimels Haylie 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 |
|---|
Shimels Haylie,
2501 N Patterson St,
Valdosta, GA 31602-1735
Ph: (229) 333-1000 | Shimels Haylie,
2501 N Patterson St,
Valdosta, GA 31602-1735
Ph: (229) 333-1000 |
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