Pebbles Dakota Shanley, MD in Anchorage, AK

Pebbles Dakota Shanley, MD is a medicare enrolled "Family Medicine" physician in Anchorage, Alaska. She went to University Of Texas Medical School At San Antonio and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Independence Park Medical Services Inc and her current practice location is 1201 E 36th Ave, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 562-9229.

Pebbles Dakota Shanley is licensed to practice in Alaska (license number 108535) 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 1962842260.

Contact Information

	Pebbles Dakota Shanley, MD
	1201 E 36th Ave, Anchorage, AK 99508-4372
	(907) 562-9229
	(907) 561-4806

Map and Direction

Physician's Profile

Full Name	Pebbles Dakota Shanley
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	1201 E 36th Ave, Anchorage, Alaska
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:

Pebbles Dakota Shanley attended and graduated from University Of Texas Medical School At San Antonio in 2013

NPI Data:

NPI Number: 1962842260
Provider Enumeration Date: 07/01/2013
Last Update Date: 10/02/2020

Medicare PECOS Information:

PECOS PAC ID: 2961632815
Enrollment ID: I20160624000675

Medical Identifiers

Medical identifiers for Pebbles Dakota Shanley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962842260	NPI	-	NPPES
1597885	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	108535 (Alaska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alaska Regional Hospital	Anchorage, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independence Park Medical Services Inc	9032018528	6

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. Pebbles Dakota Shanley allows following entities to bill medicare on her behalf.

Entity Name	Independence Park Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366435273 PECOS PAC ID: 9032018528 Enrollment ID: O20040105000130

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. Pebbles Dakota Shanley 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
Pebbles Dakota Shanley, MD Po Box 4105, Portland, OR 97208-4105 Ph: (866) 907-1068	Pebbles Dakota Shanley, MD 1201 E 36th Ave, Anchorage, AK 99508-4372 Ph: (907) 562-9229

Reviews and Comments

Family Medicine Doctors in Anchorage, AK

Candace L Clawson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-1624 Fax: 907-729-1634
Dr. William Murray Buttner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 E 36th Ave, Anchorage, AK 99508 Phone: 907-562-9229 Fax: 907-561-4806
Robert L Mcalister, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 E 36th Ave, Anchorage, AK 99508 Phone: 907-562-2992
Shane W Cummings, M D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1310 E Dimond Blvd, Suite 1, Anchorage, AK 99515 Phone: 907-344-2400 Fax: 907-344-2404
Jeremy D Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Compassion Cir, Anchorage, AK 99504 Phone: 907-212-9200 Fax: 907-212-9283
Kelton Hillard Oliver, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12302 Woodward Dr, Anchorage, AK 99516 Phone: 907-580-0002
Ryan T. Mcwilliams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4320 Diplomacy Dr, Suite 1191, Anchorage, AK 99508 Phone: 907-729-6321

Pebbles Dakota Shanley, MD - Medicare Family Practice in Anchorage, AK