Andrew Carl Shore, - Medicare Internal Medicine in Riverside, MO

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Andrew Carl Shore, is a medicare enrolled "Internal Medicine" physician in Riverside, Missouri. His current practice location is 2906 Nw Vivion Rd, Riverside, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 599-5050.

Andrew Carl Shore is licensed to practice in Missouri (license number 2022027327) 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 1174028120.

Contact Information

Andrew Carl Shore,
2906 Nw Vivion Rd,
Riverside, MO 64150-1502
(816) 599-5050
Not Available

Map and Direction




Physician's Profile

Full NameAndrew Carl Shore
GenderMale
SpecialityInternal Medicine
Location2906 Nw Vivion Rd, Riverside, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174028120
  • Provider Enumeration Date: 03/29/2018
  • Last Update Date: 09/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9335497122
  • Enrollment ID: I20220816000224

Medical Identifiers

Medical identifiers for Andrew Carl Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174028120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2022027327 (Missouri)Secondary
207R00000XInternal Medicine 2022027327 (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. Andrew Carl Shore allows following entities to bill medicare on his behalf.
Entity NameSwope Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689760076
PECOS PAC ID: 5294644530
Enrollment ID: O20040416000940

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. Andrew Carl Shore 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
Andrew Carl Shore,
2906 Nw Vivion Rd,
Riverside, MO 64150-1502

Ph: () -		Andrew Carl Shore,
2906 Nw Vivion Rd,
Riverside, MO 64150-1502

Ph: (816) 599-5050

Reviews and Comments


Internal Medicine Doctors in Riverside, MO


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.