William Walter Shely Iii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Salem, Oregon. He went to Rush Medical College Of Rush University and graduated in 1985 and has 40 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is
875 Oak St Se, Suite 5020, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 371-4044.
William Walter Shely Iii is licensed to practice in Oregon (license number MD14793) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215920236.
Physician's Profile
| Full Name | William Walter Shely Iii |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 40 Years |
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| Location | 875 Oak St Se, Salem, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William Walter Shely Iii attended and graduated from Rush Medical College Of Rush University in 1985
NPI Data:
- NPI Number: 1215920236
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244138881
- Enrollment ID: I20051024001182
Medical Identifiers
Medical identifiers for William Walter Shely Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215920236 | NPI | - | NPPES |
| 8178899 | Medicaid | WA | |
| 073705 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD14793 (Oregon) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD00033156 (Washington) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G68679 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1498 |
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. William Walter Shely Iii allows following entities to bill medicare on his behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799 |
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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. William Walter Shely Iii 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 |
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William Walter Shely Iii, MD
975 Se Sandy Blvd, Suite 200,
Portland, OR 97214-1308
Ph: (503) 963-2846 | William Walter Shely Iii, MD
875 Oak St Se, Suite 5020,
Salem, OR 97301-3975
Ph: (503) 371-4044 |
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