Dr Kelle Rae Shutter, MD in Brattleboro, VT

Dr Kelle Rae Shutter, MD is a medicare enrolled "Pediatrics" physician in Brattleboro, Vermont. Her current practice location is 21 Belmont Ave, Brattleboro, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 258-3905.

Dr Kelle Rae Shutter is licensed to practice in Vermont (license number 042.0015262) 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 1235463092.

Contact Information

	Dr Kelle Rae Shutter, MD
	21 Belmont Ave, Brattleboro, VT 05301-7110
	(802) 258-3905
	(802) 258-4903

Map and Direction

Physician's Profile

Full Name	Dr Kelle Rae Shutter
Gender	Female
Speciality	Pediatrics
Location	21 Belmont Ave, Brattleboro, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235463092
Provider Enumeration Date: 09/28/2009
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2163685793
Enrollment ID: I20150402001530

Medical Identifiers

Medical identifiers for Dr Kelle Rae Shutter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235463092	NPI	-	NPPES
6706620	Medicaid	VT
3127306	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD60500534 (Washington)	Secondary
208000000X	Pediatrics	042.0015262 (Vermont)	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. Dr Kelle Rae Shutter allows following entities to bill medicare on her behalf.

Entity Name	The Polyclinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Entity Name	Seattle Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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 Kelle Rae Shutter 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 Kelle Rae Shutter, MD 600 Blair Park Rd Ste 285, Williston, VT 05495-7586 Ph: (802) 288-1140	Dr Kelle Rae Shutter, MD 21 Belmont Ave, Brattleboro, VT 05301-7110 Ph: (802) 258-3905

Reviews and Comments

Pediatrics Doctors in Brattleboro, VT

Jane Katz Field, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16 Belmont Ave, Just So Pediatrics, Brattleboro, VT 05301 Phone: 802-254-2253
Alexander Zajack, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 802-257-0341 Fax: 802-251-8435
Lynn W Herzog, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-258-3905 Fax: 802-258-4903
Kristan M Outwater, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-258-3905 Fax: 802-258-4903
Carol R Boyes, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-228-3905 Fax: 802-258-4903
Emily M Kolpa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-258-3905 Fax: 802-258-4903

Dr Kelle Rae Shutter, MD - Medicare Pediatrics in Brattleboro, VT