Dr Kiley Patrick Shafer, MD - Medicare Emergency Medicine in Meridian, MS

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Dr Kiley Patrick Shafer, MD is a medicare enrolled "Emergency Medicine" physician in Meridian, Mississippi. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Relias Emergency Medicine Specialists Of Hamilton, Llc, Pontotoc Health Services, Inc., Relias Emergency Medicine Specialists Of Tupelo Llc and his current practice location is 2124 14th St, Meridian, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 553-6000.

Dr Kiley Patrick Shafer is licensed to practice in Mississippi (license number 19129) 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 1558386698.

Contact Information

Dr Kiley Patrick Shafer, MD
2124 14th St,
Meridian, MS 39301-4040
(601) 553-6000
(601) 553-6115

Map and Direction




Physician's Profile

Full NameDr Kiley Patrick Shafer
GenderMale
SpecialityEmergency Medicine
Experience24 Years
Location2124 14th St, Meridian, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kiley Patrick Shafer graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1558386698
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638177637
  • Enrollment ID: I20181012001657

Medical Identifiers

Medical identifiers for Dr Kiley Patrick Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558386698NPI-NPPES
009937118MedicaidAL
731-04414OtherALBLUE CROSS BLUE SHIELD
06954074MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 19129 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital
Pontotoc Health Service Inc CahPontotoc, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Relias Emergency Medicine Specialists Of Hamilton, Llc05475994909
Pontotoc Health Services, Inc.600289535616
Relias Emergency Medicine Specialists Of Tupelo Llc660817973438

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 Kiley Patrick Shafer allows following entities to bill medicare on his behalf.
Entity NameRelias Emergency Medicine Specialists Of Fayette Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201543
PECOS PAC ID: 6800147604
Enrollment ID: O20180918001531
Entity NameRelias Emergency Medicine Specialists Of Northport, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699261149
PECOS PAC ID: 2668724634
Enrollment ID: O20181003001104
Entity NameRelias Emergency Medicine Specialists Of Regional, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619463163
PECOS PAC ID: 9436401106
Enrollment ID: O20181008000902
Entity NameRelias Emergency Medicine Specialists Of Hamilton, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457912297
PECOS PAC ID: 0547599490
Enrollment ID: O20190903001124

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 Kiley Patrick Shafer 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 Kiley Patrick Shafer, MD
355 Audubon Cir,
Brandon, MS 39047-7783

Ph: (601) 919-8036		Dr Kiley Patrick Shafer, MD
2124 14th St,
Meridian, MS 39301-4040

Ph: (601) 553-6000

Reviews and Comments


Emergency Medicine Doctors in Meridian, MS

Dr. James Mark Shockley, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2124 14th St, Meridian, MS 39301
Phone: 601-553-6000    Fax: 601-553-6144
Dr. James A. Snyder, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1314 19th Ave, Meridian, MS 39301
Phone: 601-703-9260    Fax: 601-703-4050
Dr. William Meyer, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1102 Constitution Ave, Meridian, MS 39301
Phone: 601-693-2511    Fax: 601-484-3357
James Dean Perkins, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1314 19th Ave, Meridian, MS 39301
Phone: 601-703-9260    Fax: 601-703-4050
Dr. Phillip K Mcdonald, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2124 14th St, Meridian, MS 39301
Phone: 601-553-6000    Fax: 601-553-6115
Misty Nicole Rea, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1314 19th Ave, Meridian, MS 39301
Phone: 601-703-9260    Fax: 601-703-4050
John W Johnston Jr., MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1314 19th Ave, Meridian, MS 39301
Phone: 601-703-4926    Fax: 601-703-4928

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.