Jennifer A Shockley, MD is a medicare enrolled "Family Medicine" physician in Elk Rapids, Michigan. She went to University Of Michigan Medical School and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Elk Rapids Primary Care Plc and her current practice location is
115 Bridge St, Elk Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 264-0399.
Jennifer A Shockley is licensed to practice in Michigan (license number 4301074526) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336139658.
Physician's Profile
Full Name | Jennifer A Shockley |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 25 Years |
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Location | 115 Bridge St, Elk Rapids, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer A Shockley attended and graduated from University Of Michigan Medical School in 1999
NPI Data:
- NPI Number: 1336139658
- Provider Enumeration Date: 10/27/2005
- Last Update Date: 02/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 9234232380
- Enrollment ID: I20070312000154
Medical Identifiers
Medical identifiers for Jennifer A Shockley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336139658 | NPI | - | NPPES |
4415237 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301074526 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Elk Rapids Primary Care Plc | 8527029818 | 2 |
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. Jennifer A Shockley allows following entities to bill medicare on her behalf.
Entity Name | Elk Rapids Primary Care Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174672968 PECOS PAC ID: 8527029818 Enrollment ID: O20041020000708 |
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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. Jennifer A Shockley 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 |
Jennifer A Shockley, MD Po Box 888, Elk Rapids, MI 49629-0888 Ph: (231) 264-0399 | Jennifer A Shockley, MD 115 Bridge St, Elk Rapids, MI 49629-5110 Ph: (231) 264-0399 |
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