Charlotte L Shackelford, PAC - Medicare Physician Assistant in Purcell, OK

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Charlotte L Shackelford, PAC is a medicare enrolled "Physician Assistant" in Purcell, Oklahoma. She graduated from nursing school in 1995 and has 31 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Saints Medical Group, Llc and her current practice location is 1401 N 4th Ave, Suite 201, Purcell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 527-5400.

Charlotte L Shackelford is licensed to practice in Oklahoma (license number 746) 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 1366601015.

Contact Information

Charlotte L Shackelford, PAC
1401 N 4th Ave, Suite 201,
Purcell, OK 73080-1806
(405) 527-5400
(405) 527-7332

Map and Direction




Provider's Profile

Full NameCharlotte L Shackelford
GenderFemale
SpecialityPhysician Assistant
Experience31 Years
Location1401 N 4th Ave, Purcell, Oklahoma
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:
  • Charlotte L Shackelford graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1366601015
  • Provider Enumeration Date: 06/07/2008
  • Last Update Date: 07/18/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4880726256
  • Enrollment ID: I20100720001038

Medical Identifiers

Medical identifiers for Charlotte L Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366601015NPI-NPPES
P00844211OtherRRMCARE THRU PFP
200229210AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 746 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Loving Care In-home Health Services, L.l.c.Noble, OKHome health agency
Purcell Municipal HospitalPurcell, OKHospital
Norman RegionalNorman, OKHospital
Ssm Health St Anthony Hospital - Oklahoma CityOklahoma city, OKHospital
Ou Health University Of Oklahoma Medical CenterOklahoma city, OKHospital
Ssm Health St Anthony Hospital - ShawneeShawnee, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saints Medical Group, Llc7012914898430

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. Charlotte L Shackelford allows following entities to bill medicare on her behalf.
Entity NamePurcell Municipal Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467476911
PECOS PAC ID: 7719899400
Enrollment ID: O20031106000100
Entity NameSaints Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437195922
PECOS PAC ID: 7012914898
Enrollment ID: O20061109000189

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. Charlotte L Shackelford 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
Charlotte L Shackelford, PAC
1401 N 4th Ave, Suite 201,
Purcell, OK 73080-1806

Ph: (405) 527-5400		Charlotte L Shackelford, PAC
1401 N 4th Ave, Suite 201,
Purcell, OK 73080-1806

Ph: (405) 527-5400

Reviews and Comments


Physician Assistant Nurses in Purcell, OK

Tonja Shandy, P.A.- C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1401 N 4th Ave Ste 107, Purcell, OK 73080
Phone: 405-527-5400    Fax: 405-527-7332
Ms. Timara Leigh Stelling, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1401 N 4th Ave Ste 107, Purcell, OK 73080
Phone: 405-527-5400    Fax: 405-527-7332
Ms. Carol Jean Mccarty, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1438 Hardcastle Blvd, Purcell, OK 73080
Phone: 405-527-4700    
Shawn Bridwell, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1438 Hardcastle Blvd, Purcell, OK 73080
Phone: 405-527-4700    Fax: 405-527-4903

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.