Dr Brian Edward Shockley, D P M - Medicare Podiatrist in Vicksburg, MS

Dr Brian Edward Shockley, D P M is a medicare enrolled "Podiatrist" provider in Vicksburg, Mississippi. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is 1814 Mission 66, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 638-7520.

Dr Brian Edward Shockley is licensed to practice in Mississippi (license number MS80142) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477662229.

Contact Information

Dr Brian Edward Shockley, D P M
1814 Mission 66,
Vicksburg, MS 39180-3710
(601) 638-7520
(601) 638-7541

Map and Direction




Healthcare Provider's Profile

Full NameDr Brian Edward Shockley
GenderMale
SpecialityPodiatry
Experience28 Years
Location1814 Mission 66, Vicksburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brian Edward Shockley attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1477662229
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 01/26/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8325093792
  • Enrollment ID: I20110329000330

Medical Identifiers

Medical identifiers for Dr Brian Edward Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477662229NPI-NPPES
5963224OtherLAAETNA
00119033MedicaidMS
1540447MedicaidLA
4800026580OtherLARAILROAD MEDICARE
1851563OtherMSUNITED HEALTHCARE
4342670001OtherMSMEDICARE DME
5963224OtherMSAETNA
480026580OtherMSRAILROAD MEDICARE
1851563OtherLAUNITED HEALTHCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist MS80142 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Merit Health River RegionVicksburg, MSHospital

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. Dr Brian Edward Shockley allows following entities to bill medicare on his behalf.
Provider NameDelta Foot Clinics, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962689042
PECOS PAC ID: 9133176209
Enrollment ID: O20110329000269

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. Dr Brian Edward Shockley 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
Dr Brian Edward Shockley, D P M
1814 Mission 66,
Vicksburg, MS 39180-3710

Ph: (601) 638-7520
Dr Brian Edward Shockley, D P M
1814 Mission 66,
Vicksburg, MS 39180-3710

Ph: (601) 638-7520

Reviews and Comments


Podiatrist in Vicksburg, MS


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.