Dr Kelley Shields Caddel, MD in Florissant, MO

Dr Kelley Shields Caddel, MD is a medicare enrolled "Pediatrics" physician in Florissant, Missouri. Her current practice location is 11642 W Florissant Ave, Florissant, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 838-8220.

Dr Kelley Shields Caddel is licensed to practice in Missouri (license number 2012003226) 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 1942464060.

Contact Information

	Dr Kelley Shields Caddel, MD
	11642 W Florissant Ave, Florissant, MO 63033-6723
	(314) 838-8220
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelley Shields Caddel
Gender	Female
Speciality	Pediatrics
Location	11642 W Florissant Ave, Florissant, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942464060
Provider Enumeration Date: 07/17/2008
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6709223175
Enrollment ID: I20240320003211

Medical Identifiers

Medical identifiers for Dr Kelley Shields Caddel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942464060	NPI	-	NPPES
2012003226	Other	MO	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2012003226 (Missouri)	Primary
208000000X	Pediatrics	2008015402 (Missouri)	Secondary

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 Kelley Shields Caddel 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 Kelley Shields Caddel, MD 11642 W Florissant Ave, Florissant, MO 63033-6723 Ph: (314) 838-8220	Dr Kelley Shields Caddel, MD 11642 W Florissant Ave, Florissant, MO 63033-6723 Ph: (314) 838-8220

Reviews and Comments

Pediatrics Doctors in Florissant, MO

Miss Michele L Niemczyk, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 W Florissant Ave, Florissant, MO 63033 Phone: 314-838-8220 Fax: 314-830-1873
Laura Elizabeth Holt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 W Florissant Ave, Florissant, MO 63033 Phone: 314-838-8220 Fax: 314-838-4007
Dr. Elinor Hancock, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4129 N Us Highway 67, Florissant, MO 63034 Phone: 314-355-6390
Dr. Ritu L Zei, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345
Dr. Kevin J Murphy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Ste 1103, Florissant, MO 63031 Phone: 314-837-0405 Fax: 314-395-7289
Dr. Katherine L Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345
Dr. Justin O Ogbevoen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345

Dr Kelley Shields Caddel, MD - Medicare Pediatrics in Florissant, MO