Dr Kelle Rae Shutter, MD - Medicare Pediatrics 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 NameDr Kelle Rae Shutter
GenderFemale
SpecialityPediatrics
Location21 Belmont Ave, Brattleboro, Vermont
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1235463092NPI-NPPES
6706620MedicaidVT
3127306MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD60500534 (Washington)Secondary
208000000XPediatrics 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 NameThe Polyclinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788
Entity NameSeattle Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    
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
Robert D Nassau, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 21 Belmont Ave, Brattleboro, VT 05301
Phone: 802-258-3905    Fax: 802-258-4903

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.