Dr Dustin Shackleton, MD in Portland, OR

Dr Dustin Shackleton, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Portland, Oregon. He went to University Of California, Davis School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Northwest Medical Foundation Of Tillamook, Affiliated Pathologists Medical Group, Inc., Affiliated Pathologists Medical Group, Inc. and his current practice location is 10123 Se Market St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (310) 225-3244.

Dr Dustin Shackleton is licensed to practice in Oregon (license number LL17906) 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 1942445119.

Contact Information

	Dr Dustin Shackleton, MD
	10123 Se Market St, Portland, OR 97216-2532
	(310) 225-3244
	(310) 698-7054

Map and Direction

Physician's Profile

Full Name	Dr Dustin Shackleton
Gender	Male
Speciality	Pathology
Experience	19 Years
Location	10123 Se Market St, Portland, Oregon
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 Dustin Shackleton attended and graduated from University Of California, Davis School Of Medicine in 2005

NPI Data:

NPI Number: 1942445119
Provider Enumeration Date: 12/02/2008
Last Update Date: 06/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5496940124
Enrollment ID: I20101108001153

Medical Identifiers

Medical identifiers for Dr Dustin Shackleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942445119	NPI	-	NPPES
DE3973	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	LL17906 (Oregon)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD150243 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Portland	Portland, OR	Hospital
Adventist Health Tillamook	Tillamook, OR	Hospital
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Medical Foundation Of Tillamook	5092619569	74
Affiliated Pathologists Medical Group, Inc.	7315840535	40
Affiliated Pathologists Medical Group, Inc.	7315840535	40

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 Dustin Shackleton allows following entities to bill medicare on his behalf.

Entity Name	Northwest Medical Foundation Of Tillamook
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676

Entity Name	Affiliated Pathologists Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20110124000445

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 Dustin Shackleton 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 Dustin Shackleton, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244	Dr Dustin Shackleton, MD 10123 Se Market St, Portland, OR 97216-2532 Ph: (310) 225-3244

Reviews and Comments

Pathology Doctors in Portland, OR

Dr. Kevin P Sargeant, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8276 Fax: 503-494-2025
Mary Jo Drew, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3131 N. Vancouver Ave., American Red Cross Pnw Regional Blood Services, Portland, OR 97227 Phone: 503-528-5920
Dr. Judith Ann Ray, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-8259 Fax: 503-413-6267
Matthew Carstens Frank, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 303-859-4275
Sarah Walter, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1015 Nw 22nd Ave, Dept Of Pathology, Portland, OR 97210 Phone: 503-237-0507
Matthew Evans, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 800-649-8730
Dr. Mathew Scott Greenberg, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St, Bldg #3 Pathology And Laboratory, Portland, OR 97213 Phone: 503-893-7757 Fax: 503-893-7795

Dr Dustin Shackleton, MD - Medicare Pathology in Portland, OR