Kelly Shafer, NP in Shelby Township, MI - Medicare Nurse Practitioner

Kelly Shafer, NP is a medicare enrolled "Nurse Practitioner - Family" in Shelby Township, Michigan. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Beaumont Medical Group- Specialty Services and her current practice location is 2115 25 Mile Rd, Shelby Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Kelly Shafer is licensed to practice in Michigan (license number 4704272276) 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 1417326786.

Contact Information

	Kelly Shafer, NP
	2115 25 Mile Rd, Shelby Township, MI 48316-1097
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Shafer
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	2115 25 Mile Rd, Shelby Township, Michigan
Accepts Medicare Assignments	Yes. 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 Shafer graduated from nursing school in 2015

NPI Data:

NPI Number: 1417326786
Provider Enumeration Date: 09/17/2015
Last Update Date: 05/18/2022

Medicare PECOS Information:

PECOS PAC ID: 4284942822
Enrollment ID: I20151001001971

Medical Identifiers

Medical identifiers for Kelly Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417326786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704272276 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Medical Group- Specialty Services	7214299866	781

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 Shafer allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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 Shafer 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
Kelly Shafer, NP 26901 Beaumont Blvd, Southfield, MI 48033-3849 Ph: () -	Kelly Shafer, NP 2115 25 Mile Rd, Shelby Township, MI 48316-1097 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Shelby Township, MI

Russell Miller, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315 Phone: 586-731-8400
Miss Joey Fattizzo, FNP, RN, RDH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45445 Mound Round, Suite 105, Shelby Township, MI 48317 Phone: 586-200-8707 Fax: 248-282-1313
Mrs. Karey Hartford, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49310 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-731-8900 Fax: 586-726-5439
Diana Scanlon, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315 Phone: 586-247-4300 Fax: 586-532-6496
Tyler Mclaughlan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14270 Oakwood Dr, Shelby Township, MI 48315 Phone: 586-900-9444
Kathleen Lewis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46961 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-991-5205
Theola J Rivera, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8180 26 Mile Rd, Suite 100, Shelby Township, MI 48316 Phone: 586-336-7321 Fax: 586-336-7356

Kelly Shafer, NP - Medicare Nurse Practitioner in Shelby Township, MI