Kevin W Shaver, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist - Orthopedic" physician in Grand Rapids, Michigan. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Orthopaedic Associates Of Grand Rapids Pc and his current practice location is
1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 459-3900.
Kevin W Shaver is licensed to practice in * (Not Available) (license number ) 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 1730683202.
Physician's Profile
| Full Name | Kevin W Shaver |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 11 Years |
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| Location | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin W Shaver graduated from medical school in 2013
NPI Data:
- NPI Number: 1730683202
- Provider Enumeration Date: 03/20/2018
- Last Update Date: 10/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355757048
- Enrollment ID: I20210303002693
Medical Identifiers
Medical identifiers for Kevin W Shaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730683202 | NPI | - | NPPES |
| 1730683202 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 5501016400 (Michigan) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orthopaedic Associates Of Grand Rapids Pc | 9537136403 | 84 |
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. Kevin W Shaver allows following entities to bill medicare on his behalf.
| Entity Name | Orthopaedic Associates Of Grand Rapids Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023021300
PECOS PAC ID: 9537136403
Enrollment ID: O20040911000212 |
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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. Kevin W Shaver 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 |
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Kevin W Shaver, PHYSICAL THERAPIST
1111 Leffingwell Ave Ne,
Grand Rapids, MI 49525-6406
Ph: (616) 459-7101 | Kevin W Shaver, PHYSICAL THERAPIST
1111 Leffingwell Ave Ne,
Grand Rapids, MI 49525-6406
Ph: (616) 459-3900 |
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