Shelby Gonsales, APRN, FNP-BC is a medicare enrolled "Clinic/center - Urgent Care" in Brookville, Ohio. Her current practice location is
430 Arlington Rd Ste, Brookville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(326) 699-6100.
Shelby Gonsales is licensed to practice in * (Not Available) (license number ) 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 1780081224.
Provider's Profile
| Full Name | Shelby Gonsales |
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| Gender | Female |
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| Speciality | Clinic/center - Urgent Care |
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| Location | 430 Arlington Rd Ste, Brookville, Ohio |
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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: 1780081224
- Provider Enumeration Date: 11/27/2014
- Last Update Date: 06/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799157780
- Enrollment ID: I20230221002755
Medical Identifiers
Medical identifiers for Shelby Gonsales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780081224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0028190 (Ohio) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | 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. Shelby Gonsales allows following entities to bill medicare on her behalf.
| Entity Name | Cg Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982903951
PECOS PAC ID: 6608052196
Enrollment ID: O20110518000216 |
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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. Shelby Gonsales 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 |
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Shelby Gonsales, APRN, FNP-BC
4300 Toll Gate Ln,
Bellbrook, OH 45305-1235
Ph: (937) 867-7700 | Shelby Gonsales, APRN, FNP-BC
430 Arlington Rd Ste,
Brookville, OH 45309-1103
Ph: (326) 699-6100 |
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