Kristie Shores, PA-C is a medicare enrolled "Physician Assistant" physician in New Tripoli, Pennsylvania. Her current practice location is
7096 Decatur St, New Tripoli, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 298-8521.
Kristie Shores is licensed to practice in Pennsylvania (license number MA060130) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942784319.
Physician's Profile
Full Name | Kristie Shores |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 7096 Decatur St, New Tripoli, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942784319
- Provider Enumeration Date: 09/20/2018
- Last Update Date: 04/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496007957
- Enrollment ID: I20181010002994
Medical Identifiers
Medical identifiers for Kristie Shores such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942784319 | NPI | - | NPPES |
MA060130 | Other | PA | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MA060130 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | MA060130 (Pennsylvania) | Primary |
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. Kristie Shores 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 |
Kristie Shores, PA-C 1605 N Cedar Crest Blvd Ste 411, Allentown, PA 18104-2323 Ph: (484) 330-1377 | Kristie Shores, PA-C 7096 Decatur St, New Tripoli, PA 18066-3815 Ph: (610) 298-8521 |
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