Kyle Shafer, is a medicare enrolled "Physician Assistant" in Ilwaco, Washington. His current practice location is
176 1st Ave N, Ilwaco, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 642-3747.
Kyle Shafer is licensed to practice in Washington (license number 61076997) 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 1376172775.
Provider's Profile
| Full Name | Kyle Shafer |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 176 1st Ave N, Ilwaco, Washington |
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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:
- Kyle Shafer attended and graduated from in
NPI Data:
- NPI Number: 1376172775
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 07/22/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kyle Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376172775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 61076997 (Washington) | 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. Kyle 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 |
|---|
Kyle Shafer,
35585 Bella Ridge Loop,
Astoria, OR 97103-6630
Ph: () - | Kyle Shafer,
176 1st Ave N,
Ilwaco, WA 98624-9137
Ph: (360) 642-3747 |
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