Garrett Shackleton, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Waukee, Iowa. He graduated from medical school in 2016 and has 10 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
2515 Grand Prairie Pkwy, Waukee, Iowa. You can reach out to his office (for appointments etc.) via phone at
(515) 265-1300.
Garrett Shackleton is licensed to practice in Iowa (license number MD-56398) 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 | 10 Years |
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| Location | 2515 Grand Prairie Pkwy, Waukee, Iowa |
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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: 02/03/2026
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 | MD-56398 (Iowa) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD-56398 (Iowa) | 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 2515 Grand Prairie Pkwy, Waukee, IA 50263-8979 Ph: () - | Garrett Shackleton, MD 2515 Grand Prairie Pkwy, Waukee, IA 50263-8979 Ph: (515) 265-1300 |
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