Kelly Shaffer, MD - Medicare Family Practice in Bend, OR

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Kelly Shaffer, MD is a medicare enrolled "Family Medicine" physician in Bend, Oregon. She went to Vanderbilt University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice 24 On Physicians Pc, Clark Regional Physician Practices Llc, Kentucky Orthopedic Rehabilitation Llc, Clark Regional Physician Practices Llc and her current practice location is 2500 Ne Neff Rd, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 706-6892.

Kelly Shaffer is licensed to practice in Kentucky (license number TP735) 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 1962681577.

Contact Information

Kelly Shaffer, MD
2500 Ne Neff Rd,
Bend, OR 97701-6015
(541) 706-6892
(541) 706-6813

Map and Direction




Physician's Profile

Full NameKelly Shaffer
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location2500 Ne Neff Rd, Bend, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Shaffer attended and graduated from Vanderbilt University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1962681577
  • Provider Enumeration Date: 10/31/2007
  • Last Update Date: 10/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668804253
  • Enrollment ID: I20191120001742

Medical Identifiers

Medical identifiers for Kelly Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962681577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TP735 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clark Regional Medical CenterWinchester, KYHospital
Ephraim Mcdowell Regional Medical CenterDanville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
24 On Physicians Pc5698688141237
Clark Regional Physician Practices Llc973933756933
Kentucky Orthopedic Rehabilitation Llc0345157293731
Clark Regional Physician Practices Llc973933756933

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. Kelly Shaffer allows following entities to bill medicare on her behalf.
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679522346
PECOS PAC ID: 5698688141
Enrollment ID: O20061012000513
Entity NameClark Regional Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780356253
PECOS PAC ID: 9739337569
Enrollment ID: O20120919000575
Entity NameKentucky Hospitalist Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558954776
PECOS PAC ID: 0345656377
Enrollment ID: O20210317000117

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. Kelly Shaffer 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
Kelly Shaffer, MD
234 Goodman St, Mail Location 0796,
Cincinnati, OH 45219-2364

Ph: () -		Kelly Shaffer, MD
2500 Ne Neff Rd,
Bend, OR 97701-6015

Ph: (541) 706-6892

Reviews and Comments


Family Medicine Doctors in Bend, OR

Wendy Yerington Dryden, M.D.
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Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701
Phone: 541-383-3005    Fax: 541-383-1883
Lisa Kristine Mizeur, FNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2600 Ne Neff Rd, Bend, OR 97701
Phone: 541-706-4800    Fax: 541-706-4806
William B Wignall, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1247 Ne Medical Center Dr, Bend, OR 97701
Phone: 541-318-4249    
Edward M Tarbet, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701
Phone: 541-382-2811    Fax: 541-317-4588
Michael R. Hudson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Ne Neff Rd, Bend, OR 97701
Phone: 541-706-3700    Fax: 541-706-3730
Dr. Michelle Ann Kyriakos, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1375 Nw Kingston Ave, Bend, OR 97701
Phone: 541-383-5958    Fax: 541-383-3016
Ryan Daniel Lurtsema, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701
Phone: 541-382-4900    

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.