Shelby Mae Van Waite, MD in Clackamas, OR

Shelby Mae Van Waite, MD is a medicare enrolled "Family Medicine" physician in Clackamas, Oregon. Her current practice location is 10100 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (800) 813-2000.

Shelby Mae Van Waite is licensed to practice in Oregon (license number MD225310) 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 1598408817.

Contact Information

	Shelby Mae Van Waite, MD
	10100 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(800) 813-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Shelby Mae Van Waite
Gender	Female
Speciality	Family Medicine
Location	10100 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598408817
Provider Enumeration Date: 04/14/2022
Last Update Date: 07/30/2025

Medicare PECOS Information:

PECOS PAC ID: 8729466966
Enrollment ID: I20220601000026

Medical Identifiers

Medical identifiers for Shelby Mae Van Waite such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598408817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61684463 (Washington)	Secondary
207Q00000X	Family Medicine	MD225310 (Oregon)	Primary

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. Shelby Mae Van Waite 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
Shelby Mae Van Waite, MD 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: (800) 813-2000	Shelby Mae Van Waite, MD 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (800) 813-2000

Reviews and Comments

Family Medicine Doctors in Clackamas, OR

Dr. Calvert John Shipley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440
Dr. Thorsten Lundsgaarde, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Dr. Lisa Burton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-652-2880
Jon Peters, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-659-0880 Fax: 503-513-7425
Carla Jean Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8445
Dr. Benjamin Jacob Colburn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-494-8211
Guy Whitehead Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880

Shelby Mae Van Waite, MD - Medicare Family Medicine in Clackamas, OR