Andrew Carl Shore, is a medicare enrolled "Internal Medicine" physician in Riverside, Missouri. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Fort Bend Family Health Center Inc, Fort Bend Family Health Center Inc and his current practice location is
2906 Nw Vivion Rd, Riverside, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 599-5050.
Andrew Carl Shore is licensed to practice in Missouri (license number 2022027327) 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 1174028120.
Physician's Profile
| Full Name | Andrew Carl Shore |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 8 Years |
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| Location | 2906 Nw Vivion Rd, Riverside, Missouri |
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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:
- Andrew Carl Shore graduated from medical school in 2018
NPI Data:
- NPI Number: 1174028120
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335497122
- Enrollment ID: I20220816000224
Medical Identifiers
Medical identifiers for Andrew Carl Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174028120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 2022027327 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 2022027327 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fort Bend Family Health Center Inc | 7113999780 | 18 |
| Fort Bend Family Health Center Inc | 7113999780 | 18 |
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. Andrew Carl Shore 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 |
|---|
Andrew Carl Shore,
2906 Nw Vivion Rd,
Riverside, MO 64150-1502
Ph: () - | Andrew Carl Shore,
2906 Nw Vivion Rd,
Riverside, MO 64150-1502
Ph: (816) 599-5050 |
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