Katelyn Shorter, PA-C is a medicare enrolled "Physician Assistant - Medical" in Woodhaven, Michigan. Her current practice location is
21090 Allen Rd, Woodhaven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 282-1800.
Katelyn Shorter is licensed to practice in Michigan (license number ) 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 1073276010.
Provider's Profile
Full Name | Katelyn Shorter |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 21090 Allen Rd, Woodhaven, Michigan |
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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: 1073276010
- Provider Enumeration Date: 10/18/2021
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113395724
- Enrollment ID: I20221201002348
Medical Identifiers
Medical identifiers for Katelyn Shorter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073276010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (Michigan) | 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. Katelyn Shorter 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 |
Katelyn Shorter, PA-C 21090 Allen Rd, Woodhaven, MI 48183-1602 Ph: (734) 535-7913 | Katelyn Shorter, PA-C 21090 Allen Rd, Woodhaven, MI 48183-1602 Ph: (734) 282-1800 |
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