Keith Westley Shillito, MD in Parker, AZ - Medicare Family Practice

Keith Westley Shillito, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Parker, Arizona. He went to Michigan State University College Of Human Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Parker Medical Center, Ltd. and his current practice location is 905 Fiesta, Parker, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 669-2225.

Keith Westley Shillito is licensed to practice in Arizona (license number 32755) 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 1417954850.

Contact Information

	Keith Westley Shillito, MD
	905 Fiesta, Parker, AZ 85344-5152
	(928) 669-2225
	(928) 669-6751

Map and Direction

Physician's Profile

Full Name	Keith Westley Shillito
Gender	Male
Speciality	Family Practice
Experience	27 Years
Location	905 Fiesta, Parker, Arizona
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:

Keith Westley Shillito attended and graduated from Michigan State University College Of Human Medicine in 1997

NPI Data:

NPI Number: 1417954850
Provider Enumeration Date: 06/30/2005
Last Update Date: 02/26/2014

Medicare PECOS Information:

PECOS PAC ID: 0749266617
Enrollment ID: I20040630000749

Medical Identifiers

Medical identifiers for Keith Westley Shillito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417954850	NPI	-	NPPES
862690	Medicaid	AZ
ZP03006701	Medicaid	AZ
480046	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	32755 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
La Paz Regional Hospital	Parker, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parker Medical Center, Ltd.	9739075318	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. Keith Westley Shillito allows following entities to bill medicare on his behalf.

Entity Name	La Paz Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083639983 PECOS PAC ID: 1557273356 Enrollment ID: O20031219000694

Entity Name	Parker Medical Center, Ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568469906 PECOS PAC ID: 9739075318 Enrollment ID: O20040223000670

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. Keith Westley Shillito 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
Keith Westley Shillito, MD 905 Fiesta, Parker, AZ 85344-5152 Ph: (928) 669-2225	Keith Westley Shillito, MD 905 Fiesta, Parker, AZ 85344-5152 Ph: (928) 669-2225

Reviews and Comments

Family Medicine Doctors in Parker, AZ

Dr. Ricky Lee Seabul, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2173 Fax: 928-669-2571
Dr. Odie Vernon Newborn Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-3300 Fax: 928-669-3131
Ronald Dale Parker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1713 S Kofa Ave, Suite A, Parker, AZ 85344 Phone: 928-669-9700 Fax: 928-669-9104
Dr. Gerald Leland Ferris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3366
Dr. Mary Beth Mccoy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3222
Jesus Basi Carpio, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1404 W Arizona Ave, Parker, AZ 85344 Phone: 928-669-2137

Keith Westley Shillito, MD - Medicare Family Practice in Parker, AZ