Mr Gordon Scott Shafer, FNP-C, OPA-C, CSA - Medicare Nurse Practitioner in Oak Ridge, TN

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Mr Gordon Scott Shafer, FNP-C, OPA-C, CSA is a medicare enrolled "Nurse Practitioner - Family" in Oak Ridge, Tennessee. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fast Pace Medical Clinic Pllc and his current practice location is 116 E Division Rd, Oak Ridge, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 483-3904.

Mr Gordon Scott Shafer is licensed to practice in Tennessee (license number 23329) 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 1063567303.

Contact Information

Mr Gordon Scott Shafer, FNP-C, OPA-C, CSA
116 E Division Rd,
Oak Ridge, TN 37830-6906
(865) 483-3904
Not Available

Map and Direction




Provider's Profile

Full NameMr Gordon Scott Shafer
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location116 E Division Rd, Oak Ridge, Tennessee
Accepts Medicare AssignmentsYes. 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 Gordon Scott Shafer graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1063567303
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 03/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7214285758
  • Enrollment ID: I20180731003030

Medical Identifiers

Medical identifiers for Mr Gordon Scott Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063567303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 23329 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 23329 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Medical Clinic Pllc5395881841556

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 Gordon Scott Shafer allows following entities to bill medicare on his behalf.
Entity NameEmergency Coverage Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20040220000755
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameDx Mso Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225381148
PECOS PAC ID: 7719131101
Enrollment ID: O20130213000017
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameApp Of East Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326695537
PECOS PAC ID: 6800127796
Enrollment ID: O20191007003318

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 Gordon Scott 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 AddressPractice Location Address
Mr Gordon Scott Shafer, FNP-C, OPA-C, CSA
Po Box 235,
Briceville, TN 37710-0235

Ph: (865) 426-9728		Mr Gordon Scott Shafer, FNP-C, OPA-C, CSA
116 E Division Rd,
Oak Ridge, TN 37830-6906

Ph: (865) 483-3904

Reviews and Comments


Nurse Practitioner Nurses in Oak Ridge, TN

Mrs. Jessica Lynn Hamby, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 80 Vermont Ave, Oak Ridge, TN 37830
Phone: 865-482-4078    
Kimberly R Smith, MSN, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 221 W Tyrone Rd, Oak Ridge, TN 37830
Phone: 865-483-6343    Fax: 865-483-1185
Laura A Cutler, ANP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 80 Vermont Ave, Oak Ridge, TN 37830
Phone: 865-482-4078    Fax: 865-482-4960
Mrs. Jocelyn Rebeccah Chermak, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 New York Ave Ste 200, Oak Ridge, TN 37830
Phone: 865-835-5400    
Patricia J Myers, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 Oak Ridge Tpke, Oak Ridge, TN 37830
Phone: 865-483-3172    
Ms. Gayle A Cole, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 944 Oak Ridge Tpke, Oak Ridge, TN 37830
Phone: 865-835-3810    Fax: 865-835-3811

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.