Tracey Lynn Shaffer, RD - Medicare Dietitian in Lees Summit, MO

Tracey Lynn Shaffer, RD is a medicare enrolled "Dietitian, Registered" provider in Lees Summit, Missouri. Her current practice location is 114 Se Douglas St Unit 150, Lees Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at (502) 530-4812.

Tracey Lynn Shaffer is licensed to practice in Missouri (license number 2007003698) 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 1487971339.

Contact Information

Tracey Lynn Shaffer, RD
114 Se Douglas St Unit 150,
Lees Summit, MO 64063-3193
(502) 530-4812
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTracey Lynn Shaffer
GenderFemale
SpecialityDietitian, Registered
Location114 Se Douglas St Unit 150, Lees Summit, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487971339
  • Provider Enumeration Date: 04/30/2010
  • Last Update Date: 06/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163653379
  • Enrollment ID: I20240515003371

Medical Identifiers

Medical identifiers for Tracey Lynn Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487971339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DI61281597 (Washington)Secondary
133V00000XDietitian, Registered 10220695 (Oregon)Secondary
133V00000XDietitian, Registered DX5577 (Maryland)Secondary
133V00000XDietitian, Registered DT87459 (Texas)Secondary
133V00000XDietitian, Registered 09740 (Ohio)Secondary
133V00000XDietitian, Registered 2710 (Oklahoma)Secondary
133V00000XDietitian, Registered 2007003698 (Missouri)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. Tracey Lynn Shaffer allows following entities to bill medicare on her behalf.
Provider NameThe Kroger Co
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588325153
PECOS PAC ID: 6103738653
Enrollment ID: O20220804003646

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. Tracey Lynn Shaffer 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
Tracey Lynn Shaffer, RD
2620 Elm Hill Pike,
Nashville, TN 37214-3108

Ph: (615) 425-4200
Tracey Lynn Shaffer, RD
114 Se Douglas St Unit 150,
Lees Summit, MO 64063-3193

Ph: (502) 530-4812

Reviews and Comments


Dietitian, Registered in Lees Summit, MO

Carolyn Skelton, MS, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 1800 Nw Shamrock Ct, Lees Summit, MO 64081
Phone: 816-914-6288    Fax: 877-731-3326
Wellness 4 Prevention, Llc
Dietitian
Medicare: Medicare Enrolled
Practice Location: 1800 Nw Shamrock Ct, Lees Summit, MO 64081
Phone: 816-425-3220    Fax: 877-731-3326
Quincy Emma Swanson, RDN, LD
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Medicare: Not Enrolled in Medicare
Practice Location: 2017 Ne Todd George Rd, Lees Summit, MO 64086
Phone: 630-673-8618    
Lauren Elizabeth Grant, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086
Phone: 816-347-5000    
Dr. Lydia Kaume, RDN, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 200 Ne Missouri Rd, Lees Summit, MO 64086
Phone: 479-283-8185    
Lindsay Nelson, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 312 Sw Greenwich Dr Ste 704, Lees Summit, MO 64082
Phone: 816-866-3756    Fax: 816-792-1429
Mrs. Janine Marie Lewis, R.D.
Dietitian
Medicare: Medicare Enrolled
Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086
Phone: 816-347-5197    

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.