Serena Amber-nelle Shafer, AUD in Tigard, OR - Medicare Audiologist Provider

Serena Amber-nelle Shafer, AUD is a medicare enrolled "Audiologist" provider in Tigard, Oregon. Her current practice location is 9250 Sw Hall Blvd, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 293-0161.

Serena Amber-nelle Shafer is licensed to practice in Oregon (license number 22815) 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 1679766208.

Contact Information

	Serena Amber-nelle Shafer, AUD
	9250 Sw Hall Blvd, Tigard, OR 97223
	(503) 293-0161
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Serena Amber-nelle Shafer
Gender	Female
Speciality	Audiologist
Location	9250 Sw Hall Blvd, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679766208
Provider Enumeration Date: 08/27/2007
Last Update Date: 02/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0143248831
Enrollment ID: I20070921000711

Medical Identifiers

Medical identifiers for Serena Amber-nelle Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679766208	NPI	-	NPPES
2103468	Medicaid	WA
241546	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	22815 (Oregon)	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. Serena Amber-nelle Shafer allows following entities to bill medicare on her behalf.

Provider Name	Portland Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101

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. Serena Amber-nelle Shafer 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
Serena Amber-nelle Shafer, AUD 847 Ne 19th Ave Ste 300, Portland, OR 97232-2686 Ph: (503) 963-2801	Serena Amber-nelle Shafer, AUD 9250 Sw Hall Blvd, Tigard, OR 97223 Ph: (503) 293-0161

Reviews and Comments

Audiologist in Tigard, OR

Dr. Maralyn Dennise Martindale, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223 Phone: 503-227-3668 Fax: 503-227-2234
Portland Audiology Clinic, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223 Phone: 503-227-3668 Fax: 503-227-2234
Ms. Anne Elizabeth Heassler, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 11740 Sw 68th Pkwy, Tigard, OR 97223 Phone: 971-277-3245
Mr. Jacob Michael Beadles, AUD. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223 Phone: 503-227-3668 Fax: 503-227-2234
Dr. Consuelo Anna Perez, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161
Marsha J Owen, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161

Serena Amber-nelle Shafer, AUD - Medicare Audiologist in Tigard, OR