Kathleen Anne Shattenkirk, is a medicare enrolled "Family Medicine" physician in Southern Pines, North Carolina. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mh Highlands-cashiers Medical Center, Lllp and her current practice location is
128 Belmont Ct, Southern Pines, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 603-6782.
Kathleen Anne Shattenkirk is licensed to practice in North Carolina (license number 9500280) 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 1386295467.
Physician's Profile
Full Name | Kathleen Anne Shattenkirk |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 37 Years |
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Location | 128 Belmont Ct, Southern Pines, North Carolina |
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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:
- Kathleen Anne Shattenkirk attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1987
NPI Data:
- NPI Number: 1386295467
- Provider Enumeration Date: 09/20/2019
- Last Update Date: 09/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860801859
- Enrollment ID: I20220309002594
Medical Identifiers
Medical identifiers for Kathleen Anne Shattenkirk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386295467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 9500280 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mh Highlands-cashiers Medical Center, Lllp | 9739412636 | 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. Kathleen Anne Shattenkirk allows following entities to bill medicare on her behalf.
Entity Name | Mission Health Community Multispecialty Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
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Entity Name | Mh Highlands-cashiers Medical Center, Lllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922577048 PECOS PAC ID: 9739412636 Enrollment ID: O20191122002447 |
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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. Kathleen Anne Shattenkirk 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 |
Kathleen Anne Shattenkirk, 128 Belmont Ct, Southern Pines, NC 28387-2945 Ph: (910) 603-6782 | Kathleen Anne Shattenkirk, 128 Belmont Ct, Southern Pines, NC 28387-2945 Ph: (910) 603-6782 |
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