Shelly C Lall, MD - Medicare Cardiac Surgery in Traverse City, MI

Shelly C Lall, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Traverse City, Michigan. She went to University Of Rochester School Of Medicine And Dentistry and graduated in 2003 and has 21 years of diverse experience with area of expertise as Cardiac Surgery. She is a member of the group practice Munson Medical Center and her current practice location is 1221 Sixth Street, Suite 202, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (717) 531-8521.

Shelly C Lall is licensed to practice in Michigan (license number 4301099915) 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 1740235886.

Contact Information

Shelly C Lall, MD
1221 Sixth Street, Suite 202,
Traverse City, MI 49684-2359
(717) 531-8521
Not Available



Physician's Profile

Full NameShelly C Lall
GenderFemale
SpecialityCardiac Surgery
Experience21 Years
Location1221 Sixth Street, Traverse City, Michigan
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:
  • Shelly C Lall attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2003
  NPI Data:
  • NPI Number: 1740235886
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 03/26/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3971515206
  • Enrollment ID: I20121011000488

Medical Identifiers

Medical identifiers for Shelly C Lall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740235886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2005027553 (Missouri)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 4301099915 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Home CareTraverse city, MIHome health agency
Munson Medical CenterTraverse city, MIHospital
Kalkaska Memorial Health CenterKalkaska, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Medical Center3072426287257

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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. Shelly C Lall allows following entities to bill medicare on her behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904

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Entity NameCardiothoracic Surgeons Of G.t.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679797195
PECOS PAC ID: 0941236525
Enrollment ID: O20080404000647

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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. Shelly C Lall 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
Shelly C Lall, MD
1221 Sixth Street, Suite 202,
Traverse City, MI 49684-2359

Ph: (231) 935-5730
Shelly C Lall, MD
1221 Sixth Street, Suite 202,
Traverse City, MI 49684-2359

Ph: (717) 531-8521

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Traverse City, MI

Richard G Smith, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1221 6th St, Suite 202, Traverse City, MI 49684
Phone: 231-935-5730    Fax: 231-935-5736
Daniel Hayden Drake, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2793 Forest Lodge Dr, Traverse City, MI 49685
Phone: 231-935-5730    

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