Dr Kelly Elaine Shaffer, MD in North Charleston, SC

Dr Kelly Elaine Shaffer, MD is a medicare enrolled "Urology" physician in North Charleston, South Carolina. She went to Virginia Commonwealth University, School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Urology. She is a member of the group practice Lowcountry Urology Clinics Pa and her current practice location is 2687 Lake Park Dr, North Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 572-1010.

Dr Kelly Elaine Shaffer is licensed to practice in North Carolina (license number 2008-02041) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710060017.

Contact Information

	Dr Kelly Elaine Shaffer, MD
	2687 Lake Park Dr, North Charleston, SC 29406-9100
	(843) 572-1010
	(843) 569-1719

Map and Direction

Physician's Profile

Full Name	Dr Kelly Elaine Shaffer
Gender	Female
Speciality	Urology
Experience	21 Years
Location	2687 Lake Park Dr, North Charleston, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly Elaine Shaffer attended and graduated from Virginia Commonwealth University, School Of Medicine in 2003

NPI Data:

NPI Number: 1710060017
Provider Enumeration Date: 10/23/2006
Last Update Date: 02/17/2017

Medicare PECOS Information:

PECOS PAC ID: 4082779137
Enrollment ID: I20130325000538

Medical Identifiers

Medical identifiers for Dr Kelly Elaine Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710060017	NPI	-	NPPES
28461	Other	SC	SC MEDICAL LICENSE
273905550	Other	NC	NC MED BOARD # 153519

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	2008-02041 (North Carolina)	Primary
208800000X	Urology	LL28461 (South Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trident Medical Center	Charleston, SC	Hospital
Mount Pleasant Hospital	Mount pleasant, SC	Hospital
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
East Cooper Medical Center	Mount pleasant, SC	Hospital
Roper Hospital	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lowcountry Urology Clinics Pa	6406869247	15

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 Kelly Elaine Shaffer allows following entities to bill medicare on her behalf.

Entity Name	Lowcountry Urology Clinics Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942242714 PECOS PAC ID: 6406869247 Enrollment ID: O20060724000104

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 Kelly Elaine Shaffer 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 Kelly Elaine Shaffer, MD 1300 Hospital Dr, Mount Pleasant, SC 29464-3261 Ph: (843) 884-9646	Dr Kelly Elaine Shaffer, MD 2687 Lake Park Dr, North Charleston, SC 29406-9100 Ph: (843) 572-1010

Reviews and Comments

Urology Doctors in North Charleston, SC

Dr. Nelson Randolph Ploch, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440
Dr. Samuel Walker Nickles, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom St, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440
Dr. Taylor B Vaughan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom St, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440
Dr. Frederick James Goulding, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440
Dr. Theodore Edward Brisson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2890 Tricom Street, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440
Dr. Marshall Scott Wingo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2687 Lake Park Dr, North Charleston, SC 29406 Phone: 843-572-1010 Fax: 843-569-1719

Dr Kelly Elaine Shaffer, MD - Medicare Urology in North Charleston, SC