Garrett Shackleton, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Colorado Springs, Colorado. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is
1400 E Boulder St Ste 500, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 364-6487.
Garrett Shackleton is licensed to practice in Colorado (license number DR.0069230) 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 1295183184.
Physician's Profile
| Full Name | Garrett Shackleton |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 9 Years |
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| Location | 1400 E Boulder St Ste 500, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Garrett Shackleton graduated from medical school in 2016
NPI Data:
- NPI Number: 1295183184
- Provider Enumeration Date: 06/01/2016
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608160411
- Enrollment ID: I20220908003380
Medical Identifiers
Medical identifiers for Garrett Shackleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295183184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 125.068578 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | DR.0069230 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
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. Garrett Shackleton allows following entities to bill medicare on his behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
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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. Garrett Shackleton 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 |
Garrett Shackleton, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-2412 | Garrett Shackleton, MD 1400 E Boulder St Ste 500, Colorado Springs, CO 80909-5533 Ph: (719) 364-6487 |
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