Serena Amber-nelle Shafer, AUD in Clackamas, OR - Medicare Audiologist Provider

Serena Amber-nelle Shafer, AUD is a medicare enrolled "Audiologist" provider in Clackamas, Oregon. Her current practice location is 9280 Se Sunnybrook Blvd Ste 300, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 233-5548.

Serena Amber-nelle Shafer is licensed to practice in Oregon (license number 22815) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679766208.

Contact Information

	Serena Amber-nelle Shafer, AUD
	9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353
	(503) 233-5548
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Serena Amber-nelle Shafer
Gender	Female
Speciality	Audiologist
Location	9280 Se Sunnybrook Blvd Ste 300, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679766208
Provider Enumeration Date: 08/27/2007
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 0143248831
Enrollment ID: I20070921000711

Medical Identifiers

Medical identifiers for Serena Amber-nelle Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679766208	NPI	-	NPPES
2103468	Medicaid	WA
241546	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	22815 (Oregon)	Primary

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. Serena Amber-nelle Shafer allows following entities to bill medicare on her behalf.

Provider Name	Eastmoreland Ear, Nose & Throat, Clinic, Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386754398 PECOS PAC ID: 5799758785 Enrollment ID: O20040817001428

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. Serena Amber-nelle 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
Serena Amber-nelle Shafer, AUD 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 Ph: (503) 233-5548	Serena Amber-nelle Shafer, AUD 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 Ph: (503) 233-5548

Reviews and Comments

Audiologist in Clackamas, OR

Karen Fowler, MS Audiologist Medicare: Medicare Enrolled Practice Location: 8800 Se Sunnyside Rd Ste 300n, Clackamas, OR 97015 Phone: 503-653-9155
Carol Ann Gregory, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-5142
Dr. Lynda Lynell Gigstad Fitzpatrick, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-8095
Christina Reyes-fimbres, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 Phone: 503-233-5548
Rachel Stanziola, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-5142
Tiffany Tran, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 10121 Se Sunnyside Rd Ste 300, Clackamas, OR 97015 Phone: 800-242-0260
Dr. Joshua Willem Pluim, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015 Phone: 503-233-5548

Serena Amber-nelle Shafer, AUD - Medicare Audiologist in Clackamas, OR