Dr Kelly Ann Shine, MD in Frederick, MD - Medicare General Surgery

Dr Kelly Ann Shine, MD is a medicare enrolled "Surgery" physician in Frederick, Maryland. She went to Yale University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Medical Affiliates Of Cape Cod Inc, Physicians Of Cape Cod Hospital and her current practice location is 74 Thomas Johnson Dr, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 694-3200.

Dr Kelly Ann Shine is licensed to practice in Maryland (license number D0060209) 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 1477522472.

Contact Information

	Dr Kelly Ann Shine, MD
	74 Thomas Johnson Dr, Frederick, MD 21702-4300
	(301) 694-3200
	(301) 662-5288

Map and Direction

Physician's Profile

Full Name	Dr Kelly Ann Shine
Gender	Female
Speciality	General Surgery
Experience	29 Years
Location	74 Thomas Johnson Dr, Frederick, Maryland
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:

Dr Kelly Ann Shine attended and graduated from Yale University School Of Medicine in 1995

NPI Data:

NPI Number: 1477522472
Provider Enumeration Date: 03/14/2006
Last Update Date: 07/01/2013

Medicare PECOS Information:

PECOS PAC ID: 9739247594
Enrollment ID: I20200226002341

Medical Identifiers

Medical identifiers for Dr Kelly Ann Shine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477522472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	D0060209 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vna Of Cape Cod	Hyannis, MA	Home health agency
Cape Cod Healthcare	Hyannis, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Affiliates Of Cape Cod Inc	3577471564	190
Physicians Of Cape Cod Hospital	9638326671	261

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. Dr Kelly Ann Shine allows following entities to bill medicare on her behalf.

Entity Name	Medical Affiliates Of Cape Cod Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010

Entity Name	Physicians Of Cape Cod Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193

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. Dr Kelly Ann Shine 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
Dr Kelly Ann Shine, MD 3 E Thirteenth St, Frederick, MD 21701-4402 Ph: (240) 285-5856	Dr Kelly Ann Shine, MD 74 Thomas Johnson Dr, Frederick, MD 21702-4300 Ph: (301) 694-3200

Reviews and Comments

Surgery Doctors in Frederick, MD

Jesus Esquivel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7211 Bank Ct Ste 200, Frederick, MD 21703 Phone: 240-575-2526 Fax: 240-439-8910
Dr. Max Eugene Wingerd, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 74 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-694-3200 Fax: 301-662-5288
Dennis S Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-575-2526
Dr. Shyam Sundar Jayaraman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 194 Thomas Johnson Dr Ste C, Frederick, MD 21702 Phone: 240-575-2526
Scott E Andochick, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 81 Thomas Johnson Ct, Ste A, Frederick, MD 21702 Phone: 301-620-4200 Fax: 301-620-0879
Dr. Narayan Deshmukh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3840
Dr. Manuel Antonio Casiano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 74 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-694-3200 Fax: 301-662-5288

Dr Kelly Ann Shine, MD - Medicare General Surgery in Frederick, MD