Dr Kelli J Shidler, MD in Omaha, NE

Dr Kelli J Shidler, MD is a medicare enrolled "Pediatrics" physician in Omaha, Nebraska. Her current practice location is 17675 Welch Plz, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 354-7630.

Dr Kelli J Shidler is licensed to practice in Nebraska (license number 23204) 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 1285794040.

Contact Information

	Dr Kelli J Shidler, MD
	17675 Welch Plz, Omaha, NE 68135-3551
	(402) 354-7630
	(402) 354-7635

Map and Direction

Physician's Profile

Full Name	Dr Kelli J Shidler
Gender	Female
Speciality	Pediatrics
Location	17675 Welch Plz, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285794040
Provider Enumeration Date: 12/11/2006
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID: 3971631391
Enrollment ID: I20100505000943

Medical Identifiers

Medical identifiers for Dr Kelli J Shidler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285794040	NPI	-	NPPES
251093	Other	NE	MIDLANDS CHOICE
01516	Other	NE	BCBS OF NEBRASKA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	23204 (Nebraska)	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 Kelli J Shidler allows following entities to bill medicare on her behalf.

Entity Name	Father Flanagans Boys Home
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622

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 Kelli J Shidler 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 Kelli J Shidler, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100	Dr Kelli J Shidler, MD 17675 Welch Plz, Omaha, NE 68135-3551 Ph: (402) 354-7630

Reviews and Comments

Pediatrics Doctors in Omaha, NE

Dr. Amanda Marshall, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-2292
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Dr. Karen D. Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4224 S 50th St, Omaha, NE 68117 Phone: 402-733-3444 Fax: 402-731-0790
Rose Elizabeth Mccoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 982185 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-5380
John D Kugler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8200 Dodge St, Omaha, NE 68114 Phone: 402-955-4350 Fax: 402-955-4356
Margarita Dickey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3353 L St, Omaha, NE 68107 Phone: 402-354-7700 Fax: 402-354-7710

Dr Kelli J Shidler, MD - Medicare Pediatrics in Omaha, NE