Mr Terry Wayne Shortridge, MD is a medicare enrolled "Surgery" physician in Lebanon, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mid-valley Healthcare Inc and his current practice location is
675 N 5th St, Lebanon, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 451-6282.
Mr Terry Wayne Shortridge is licensed to practice in Oregon (license number MD16008) 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 1922028711.
Physician's Profile
Full Name | Mr Terry Wayne Shortridge |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 45 Years |
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Location | 675 N 5th St, Lebanon, Oregon |
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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. |
Medical Education and Training:
- Mr Terry Wayne Shortridge attended and graduated from Oregon Health Sciences University School Of Medicine in 1979
NPI Data:
- NPI Number: 1922028711
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 11/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305032780
- Enrollment ID: I20101124000591
Medical Identifiers
Medical identifiers for Mr Terry Wayne Shortridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922028711 | NPI | - | NPPES |
094276 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD16008 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mid-valley Healthcare Inc | 2769391523 | 138 |
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. Mr Terry Wayne Shortridge allows following entities to bill medicare on his behalf.
Entity Name | Mid-valley Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
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Entity Name | Mid-valley Healthcare Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
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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. Mr Terry Wayne Shortridge 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 |
Mr Terry Wayne Shortridge, MD Po Box 1193, Corvallis, OR 97339-1193 Ph: () - | Mr Terry Wayne Shortridge, MD 675 N 5th St, Lebanon, OR 97355-2875 Ph: (541) 451-6282 |
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