Dr Brenna Mae Shackelford, MD in Meridian, ID - Medicare Hospice/palliative Care

Dr Brenna Mae Shackelford, MD is a medicare enrolled "Emergency Medicine - Hospice And Palliative Medicine" physician in Meridian, Idaho. She went to University Of Texas Medical Branch At Galveston and graduated in 2008 and has 17 years of diverse experience with area of expertise as Hospice/palliative Care. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 520 S Eagle Rd Ste 3102, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 381-1615.

Dr Brenna Mae Shackelford is licensed to practice in Idaho (license number M-15461) 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 1033377833.

Contact Information

	Dr Brenna Mae Shackelford, MD
	520 S Eagle Rd Ste 3102, Meridian, ID 83642-6352
	(208) 381-1615
	(208) 381-5141

Map and Direction

Physician's Profile

Full Name	Dr Brenna Mae Shackelford
Gender	Female
Speciality	Hospice/palliative Care
Experience	17 Years
Location	520 S Eagle Rd Ste 3102, Meridian, Idaho
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:

Dr Brenna Mae Shackelford attended and graduated from University Of Texas Medical Branch At Galveston in 2008

NPI Data:

NPI Number: 1033377833
Provider Enumeration Date: 05/28/2008
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 3870739568
Enrollment ID: I20240809001334

Medical Identifiers

Medical identifiers for Dr Brenna Mae Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033377833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD19340 (Hawaii)	Secondary
207P00000X	Emergency Medicine	01067626A (Indiana)	Secondary
207P00000X	Emergency Medicine	23824 (Nevada)	Secondary
207P00000X	Emergency Medicine	A133488 (California)	Secondary
207P00000X	Emergency Medicine	M15461 (Idaho)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207PH0002X	Emergency Medicine - Hospice And Palliative Medicine	M-15461 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital
St Luke's Nampa Medical Center	Nampa, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	1062

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 Brenna Mae Shackelford allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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 Brenna Mae 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
Dr Brenna Mae Shackelford, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-8752	Dr Brenna Mae Shackelford, MD 520 S Eagle Rd Ste 3102, Meridian, ID 83642-6352 Ph: (208) 381-1615

Reviews and Comments

Emergency Medicine Doctors in Meridian, ID

Dr. Mark C Thomas, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642 Phone: 208-322-1730 Fax: 208-322-1731
Dr. Andrew Garry Southard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642 Phone: 208-322-1730 Fax: 208-322-1731
Terisa Joann Zimmerman, MS, LAT, ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 S Millenium Way, Meridian, ID 83642 Phone: 208-871-8359
Travis W Robbins, NP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 W Chinden Blvd, Meridian, ID 83646 Phone: 208-809-2860 Fax: 208-809-2861
Dr. Brian Craig Kitamura, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2963 E Copper Point Dr, Meridian, ID 83642 Phone: 208-322-1730
Todd Robert Smith, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3835 S Firenze Way, Meridian, ID 83642 Phone: 801-699-3892

Dr Brenna Mae Shackelford, MD - Medicare Hospice/palliative Care in Meridian, ID