Dr Brian David Shafer, DO in Kingsport, TN

Dr Brian David Shafer, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Kingsport, Tennessee. He went to West Virginia School Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dominion Health And Fitness, Inc, Holston Medical Group Pc and his current practice location is 105 W Stone Dr, Ste 3a, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 392-6200.

Dr Brian David Shafer is licensed to practice in Tennessee (license number DO2151) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316131998.

Contact Information

	Dr Brian David Shafer, DO
	105 W Stone Dr, Ste 3a, Kingsport, TN 37660-3365
	(423) 392-6200
	(423) 392-6593

Map and Direction

Physician's Profile

Full Name	Dr Brian David Shafer
Gender	Male
Speciality	Family Practice
Experience	18 Years
Location	105 W Stone Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Brian David Shafer attended and graduated from West Virginia School Of Osteopathic Medicine in 2006

NPI Data:

NPI Number: 1316131998
Provider Enumeration Date: 08/28/2007
Last Update Date: 02/03/2012

Medicare PECOS Information:

PECOS PAC ID: 7618002841
Enrollment ID: I20101103000771

Medical Identifiers

Medical identifiers for Dr Brian David Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316131998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	2009-01336 (North Carolina)	Secondary
207QS0010X	Family Medicine - Sports Medicine	DO2151 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dominion Health And Fitness, Inc	3274570908	18
Holston Medical Group Pc	8224935754	227

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 Brian David Shafer allows following entities to bill medicare on his behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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 Brian David 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 Brian David Shafer, DO Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066	Dr Brian David Shafer, DO 105 W Stone Dr, Ste 3a, Kingsport, TN 37660-3365 Ph: (423) 392-6200

Reviews and Comments

Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 Fort Henry Dr, Kingsport, TN 37663 Phone: 423-239-5141 Fax: 423-239-4869
Douglas J. Rose, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634
Dr. Chad Bates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Meadowview Lane, Suite 200 Holston Medical Group Pc, Kingsport, TN 37660 Phone: 423-857-2260
Dr. Edward Monty Stirman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-323-6200 Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
Jerry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660 Phone: 423-392-6200
Ms. Lesley Ann Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660 Phone: 423-247-0462 Fax: 423-247-0465

Dr Brian David Shafer, DO - Medicare Family Practice in Kingsport, TN