Kelley Ford Shippey Iii, MD - Medicare Pediatric Medicine in Kalispell, MT

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Kelley Ford Shippey Iii, MD is a medicare enrolled "Pediatrics - Sleep Medicine" physician in Kalispell, Montana. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Bon Secours Medical Group Greenville Specialty Care Llc, Dean Health Systems Inc and his current practice location is 350 Heritage Way Ste 2100, Kalispell, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 257-8992.

Kelley Ford Shippey Iii is licensed to practice in Kentucky (license number TP556) 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 1245431105.

Contact Information

Kelley Ford Shippey Iii, MD
350 Heritage Way Ste 2100,
Kalispell, MT 59901-3167
(406) 257-8992
(406) 257-8996

Map and Direction




Physician's Profile

Full NameKelley Ford Shippey Iii
GenderMale
SpecialityPediatric Medicine
Experience22 Years
Location350 Heritage Way Ste 2100, Kalispell, Montana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelley Ford Shippey Iii graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1245431105
  • Provider Enumeration Date: 05/29/2007
  • Last Update Date: 10/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345302949
  • Enrollment ID: I20130207000148

Medical Identifiers

Medical identifiers for Kelley Ford Shippey Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245431105NPI-NPPES
353548MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0012XInternal Medicine - Sleep Medicine MED-PHYS-LIC-70337 (Montana)Secondary
207RS0012XInternal Medicine - Sleep Medicine 35354 (South Carolina)Secondary
207RS0012XInternal Medicine - Sleep Medicine TP556 (Kentucky)Secondary
2080S0012XPediatrics - Sleep Medicine 35354 (South Carolina)Secondary
2080S0012XPediatrics - Sleep Medicine MED-PHYS-LIC-70337 (Montana)Secondary
2080S0012XPediatrics - Sleep Medicine TP556 (Kentucky)Primary
207R00000XInternal Medicine 35354 (South Carolina)Secondary
207R00000XInternal Medicine MED-PHYS-LIC-70337 (Montana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Francis-downtownGreenville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bon Secours Medical Group Greenville Specialty Care Llc1850779976237
Dean Health Systems Inc70128279831054

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. Kelley Ford Shippey Iii allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameMcleod Regional Medical Center Of The Pee Dee, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154371433
PECOS PAC ID: 7416851852
Enrollment ID: O20031126000251
Entity NameGreenville Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568532513
PECOS PAC ID: 8123938131
Enrollment ID: O20031212000723
Entity NameBaptist Easley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144452889
PECOS PAC ID: 0840337606
Enrollment ID: O20091027000684
Entity NameBon Secours Medical Group Greenville Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821679580
PECOS PAC ID: 1850779976
Enrollment ID: O20220602000070

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. Kelley Ford Shippey Iii 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 AddressPractice Location Address
Kelley Ford Shippey Iii, MD
350 Heritage Way Ste 2100,
Kalispell, MT 59901-3167

Ph: (406) 257-8992		Kelley Ford Shippey Iii, MD
350 Heritage Way Ste 2100,
Kalispell, MT 59901-3167

Ph: (406) 257-8992

Reviews and Comments


Pediatrics Doctors in Kalispell, MT

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Mrs. Michelle Grace Merchant, M.D.
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Evelyn Peterson, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.