Mr Grady D Shaver, DMD in Pendleton, OR - Medicare Dentist Provider

Mr Grady D Shaver, DMD is a medicare enrolled "Dentist" provider in Pendleton, Oregon. His current practice location is 73265 Confederated Way, Pendleton, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 966-9830.

Mr Grady D Shaver is licensed to practice in Oregon (license number D9825) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093049306.

Contact Information

	Mr Grady D Shaver, DMD
	73265 Confederated Way, Pendleton, OR 97801-0160
	(541) 966-9830
	(541) 278-7590

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Grady D Shaver
Gender	Male
Speciality	Dentist
Location	73265 Confederated Way, Pendleton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093049306
Provider Enumeration Date: 09/21/2009
Last Update Date: 03/09/2016

Medicare PECOS Information:

PECOS PAC ID: 2062719396
Enrollment ID: I20160331000168

Medical Identifiers

Medical identifiers for Mr Grady D Shaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093049306	NPI	-	NPPES
500653068	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE60114016 (Washington)	Secondary
122300000X	Dentist	D9825 (Oregon)	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. Mr Grady D Shaver 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
Mr Grady D Shaver, DMD Po Box 160, Pendleton, OR 97801-0160 Ph: (541) 966-9830	Mr Grady D Shaver, DMD 73265 Confederated Way, Pendleton, OR 97801-0160 Ph: (541) 966-9830

Reviews and Comments

Dentist in Pendleton, OR

Shelia Helene Coe, Dentist Medicare: Not Enrolled in Medicare Practice Location: 73265 Confederated Way, Pendleton, OR 97801 Phone: 541-278-7517
Dr. Don R Harsch, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Dorion Ave Ste 2, Pendleton, OR 97801 Phone: 541-276-4257 Fax: 541-276-3563
Dr. Arthur Scott Herman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 311 Se Dorion Ave, Pendleton, OR 97801 Phone: 541-278-0800 Fax: 541-278-7933
Dr. Ronald Graham Mcentire, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate Ste 3, Pendleton, OR 97801 Phone: 541-276-5272 Fax: 541-276-7212
Durk Irwin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 Sw Dorion Ave, Pendleton, OR 97801 Phone: 541-276-7819
Dr. Nels Robert Nelson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2801 Sw Nye Ave, Pendleton, OR 97801 Phone: 541-276-7051 Fax: 541-276-1020

Mr Grady D Shaver, DMD - Medicare Dentist in Pendleton, OR