Edward George Shelleby, PHD is a medicare enrolled "Psychologist - Clinical" provider in Wyoming, Ohio. His current practice location is
115 Elm Ave, Wyoming, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 559-2066.
Edward George Shelleby is licensed to practice in Ohio (license number 2897) 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 1124186267.
Healthcare Provider's Profile
Full Name | Edward George Shelleby |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 115 Elm Ave, Wyoming, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124186267
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517132780
- Enrollment ID: I20111216000401
Medical Identifiers
Medical identifiers for Edward George Shelleby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124186267 | NPI | - | NPPES |
0410380 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2897 (Ohio) | Primary |
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. Edward George Shelleby 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 |
Edward George Shelleby, PHD 115 Elm Ave, Wyoming, OH 45215-4325 Ph: (513) 559-2066 | Edward George Shelleby, PHD 115 Elm Ave, Wyoming, OH 45215-4325 Ph: (513) 559-2066 |
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