Dr Kathy Jo Shafer, DMD in Litchfield, IL - Medicare Dentist Provider

Dr Kathy Jo Shafer, DMD is a medicare enrolled "Dentist - General Practice" provider in Litchfield, Illinois. Her current practice location is 3162 Traylor Trl, Litchfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 622-5137.

Dr Kathy Jo Shafer is licensed to practice in Illinois (license number 019021377) 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 1750499729.

Contact Information

	Dr Kathy Jo Shafer, DMD
	3162 Traylor Trl, Litchfield, IL 62056-4559
	(217) 622-5137
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kathy Jo Shafer
Gender	Female
Speciality	Dentist - General Practice
Location	3162 Traylor Trl, Litchfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750499729
Provider Enumeration Date: 08/29/2006
Last Update Date: 12/16/2022

Medicare PECOS Information:

PECOS PAC ID: 3971898461
Enrollment ID: I20201007002362

Medical Identifiers

Medical identifiers for Dr Kathy Jo Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750499729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019021377 (Illinois)	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. Dr Kathy Jo Shafer allows following entities to bill medicare on her behalf.

Entity Name	Macoupin County Public Health Department
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446

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 Kathy Jo 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
Dr Kathy Jo Shafer, DMD 3162 Traylor Trl, Litchfield, IL 62056-4559 Ph: (217) 622-5137	Dr Kathy Jo Shafer, DMD 3162 Traylor Trl, Litchfield, IL 62056-4559 Ph: (217) 622-5137

Reviews and Comments

Dentist in Litchfield, IL

Dr. Brett Spalding, DMD Dentist Medicare: Medicare Enrolled Practice Location: 515 N Monroe St, Litchfield, IL 62056 Phone: 217-324-7900 Fax: 217-324-7929
Benjamin J Brubaker, DMD Dentist Medicare: Medicare Enrolled Practice Location: 318 N Madison St, Litchfield, IL 62056 Phone: 217-324-6223 Fax: 217-324-9101
Dr. Derek John Benning, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 318 N Madison St, Litchfield, IL 62056 Phone: 217-303-8787
Dr. Aaron L Phillips, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 901 E Chapin St, M&m Dental Clinic, Litchfield, IL 62056 Phone: 217-342-3761 Fax: 217-324-0313
Dr. Shih Fang Cheng, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 620 W Union Ave, Litchfield, IL 62056 Phone: 217-324-3431 Fax: 217-324-3414
Kellen Bosma, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 125 W Columbian Blvd S, Litchfield, IL 62056 Phone: 217-324-2610
Leif F Engles, Dentist Medicare: Medicare Enrolled Practice Location: 1403 W Ferdon St Ste 22, Litchfield, IL 62056 Phone: 217-324-0372 Fax: 217-324-0375

Dr Kathy Jo Shafer, DMD - Medicare Dentist in Litchfield, IL