Krista E Shackelford, MD in Wichita, KS

Krista E Shackelford, MD is a medicare enrolled "Dermatology" physician in Wichita, Kansas. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2002 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice The Dermatology Clinic Pa and her current practice location is 835 N Hillside St, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 685-4395.

Krista E Shackelford is licensed to practice in Kansas (license number 0432039) 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 1922038801.

Contact Information

	Krista E Shackelford, MD
	835 N Hillside St, Wichita, KS 67214-4913
	(316) 685-4395
	(316) 685-1149

Map and Direction

Physician's Profile

Full Name	Krista E Shackelford
Gender	Female
Speciality	Dermatology
Experience	23 Years
Location	835 N Hillside St, Wichita, Kansas
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:

Krista E Shackelford attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2002

NPI Data:

NPI Number: 1922038801
Provider Enumeration Date: 07/04/2006
Last Update Date: 04/02/2008

Medicare PECOS Information:

PECOS PAC ID: 7517966757
Enrollment ID: I20071008000172

Medical Identifiers

Medical identifiers for Krista E Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922038801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01061838A (Indiana)	Secondary
207N00000X	Dermatology	0432039 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Dermatology Clinic Pa	4688621451	7

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. Krista E Shackelford allows following entities to bill medicare on her behalf.

Entity Name	The Dermatology Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932168317 PECOS PAC ID: 4688621451 Enrollment ID: O20050404000831

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. Krista E Shackelford 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
Krista E Shackelford, MD 835 N Hillside St, Wichita, KS 67214-4913 Ph: (316) 685-4395	Krista E Shackelford, MD 835 N Hillside St, Wichita, KS 67214-4913 Ph: (316) 685-4395

Reviews and Comments

Dermatology Doctors in Wichita, KS

Dr. Chelsea Ray Lee, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13213 W 21st Ct N, Wichita, KS 67235 Phone: 316-612-1833 Fax: 316-612-2420
Kevin R Brough, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9300 E 29th St N Ste 320, Wichita, KS 67226 Phone: 316-500-3231 Fax: 316-223-4838
Mr. Landon M Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1911 North Webb Rd, Wichita, KS 67206 Phone: 316-682-7546 Fax: 316-682-7554
Faith Vautravers, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 N Hillside St, Wichita, KS 67214 Phone: 316-247-6451
Martha S Housholder, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 N Hillside St, Wichita, KS 67214 Phone: 316-685-4395 Fax: 316-685-1149
Brandon Litzner, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9300 E 29th St N Ste 310, Wichita, KS 67226 Phone: 316-612-1833 Fax: 316-612-2420
John C Robichaux, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4558 Fax: 316-636-4076

Krista E Shackelford, MD - Medicare Dermatology in Wichita, KS