Dr Stacy Ann Shackelford, MD in Usaf Academy, CO

Dr Stacy Ann Shackelford, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Usaf Academy, Colorado. Her current practice location is 4102 Pinion Dr, Usaf Academy, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 333-5140.

Dr Stacy Ann Shackelford is licensed to practice in Colorado (license number DR.0068946) 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 1215925672.

Contact Information

	Dr Stacy Ann Shackelford, MD
	4102 Pinion Dr, Usaf Academy, CO 80840-2502
	(719) 333-5140
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stacy Ann Shackelford
Gender	Female
Speciality	Surgery - Trauma Surgery
Location	4102 Pinion Dr, Usaf Academy, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215925672
Provider Enumeration Date: 10/11/2005
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 8022281096
Enrollment ID: I20220923000010

Medical Identifiers

Medical identifiers for Dr Stacy Ann Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215925672	NPI	-	NPPES
441150100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	280123-1205 (Utah)	Secondary
2086S0127X	Surgery - Trauma Surgery	DR.0068946 (Colorado)	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. Dr Stacy Ann Shackelford allows following entities to bill medicare on her behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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 Stacy Ann Shackelford 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 Stacy Ann Shackelford, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 333-5140	Dr Stacy Ann Shackelford, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 333-5140

Reviews and Comments

Surgery Doctors in Usaf Academy, CO

David Marc Northern, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5140
Jared G. Clay, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840 Phone: 719-333-5138 Fax: 719-333-5836
Michelle Buehner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 Phone: 719-333-5140
Andrea Blake, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, General Surgery, Usaf Academy, CO 80840 Phone: 719-333-5140 Fax: 719-333-5836

Dr Stacy Ann Shackelford, MD - Medicare Surgery in Usaf Academy, CO