Shelby Rae Brogdon, OD - Medicare Optometrist in Benton, AR

Shelby Rae Brogdon, OD is a medicare enrolled "Optometrist" provider in Benton, Arkansas. She graduated from medical school in 2018 and has 1 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Simmons Eye Care Clinic, P.a. and her current practice location is 113 W Carpenter St, Benton, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 778-2363.

Shelby Rae Brogdon is licensed to practice in Arkansas (license number 2783) 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 1174009500.

Contact Information

Shelby Rae Brogdon, OD
113 W Carpenter St,
Benton, AR 72015-3317
(501) 778-2363
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShelby Rae Brogdon
GenderFemale
SpecialityOptometry
Experience1 Years
Location113 W Carpenter St, Benton, Arkansas
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 Rae Brogdon graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1174009500
  • Provider Enumeration Date: 07/18/2018
  • Last Update Date: 07/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6002166899
  • Enrollment ID: I20180828003490

Medical Identifiers

Medical identifiers for Shelby Rae Brogdon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174009500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2783 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Simmons Eye Care Clinic, P.a.86280113844

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 Rae Brogdon allows following entities to bill medicare on her behalf.
Entity NameSimmons Eye Care Clinic, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598753279
PECOS PAC ID: 8628011384
Enrollment ID: O20050603001000

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 Rae Brogdon 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 Rae Brogdon, OD
113 W Carpenter St,
Benton, AR 72015-3317

Ph: (501) 778-2363
Shelby Rae Brogdon, OD
113 W Carpenter St,
Benton, AR 72015-3317

Ph: (501) 778-2363

Reviews and Comments

Optometrist in Benton, AR

Dr. David Bryon Glenn, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 318 W Sevier St, Benton, AR 72015
Phone: 501-778-2020    
William D. Simmons, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 113 W Carpenter St, Benton, AR 72015
Phone: 501-778-2363    Fax: 501-778-5329
Dr. Steele J Zierlein, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 113 W Carpenter St, Benton, AR 72015
Phone: 501-778-2363    Fax: 501-778-5329
Dr. Zachary Thomas Ford, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 113 W Carpenter St, Benton, AR 72015
Phone: 501-778-2363    Fax: 501-778-5329
Dr. Jennifer Zierlein, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 113 W Carpenter St, Benton, AR 72015
Phone: 501-778-2363    Fax: 501-778-5329
Dr. Creighton Alan Simmons, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 113 W Carpenter St, Benton, AR 72015
Phone: 501-778-2363    Fax: 501-778-5329

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.