Mrs Jori Lynne Shaffer, MD is a medicare enrolled "Pediatrics" physician in Byrdstown, Tennessee. Her current practice location is
8401 Highway 111, Byrdstown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 864-3187.
Mrs Jori Lynne Shaffer is licensed to practice in Tennessee (license number 34603) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205828837.
Physician's Profile
| Full Name | Mrs Jori Lynne Shaffer |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 8401 Highway 111, Byrdstown, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205828837
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 07/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012050883
- Enrollment ID: I20100202000181
Medical Identifiers
Medical identifiers for Mrs Jori Lynne Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205828837 | NPI | - | NPPES |
| 3873889 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 34603 (Tennessee) | Primary |
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. Mrs Jori Lynne Shaffer allows following entities to bill medicare on her behalf.
| Entity Name | Firstchoice Family Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962961466 PECOS PAC ID: 2668802968 Enrollment ID: O20200429002378 |
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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. Mrs Jori Lynne 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 |
Mrs Jori Lynne Shaffer, MD 8401 Highway 111, Byrdstown, TN 38549-6031 Ph: (931) 864-3187 | Mrs Jori Lynne Shaffer, MD 8401 Highway 111, Byrdstown, TN 38549 Ph: (931) 864-3187 |
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