Kyle Shafer, is a medicare enrolled "Physician Assistant" in Ilwaco, Washington. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Public Hospital District 3 Of Pacific County and his current practice location is
176 1st Ave N, Ilwaco, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 642-3747.
Kyle Shafer is licensed to practice in Washington (license number 61076997) 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 1376172775.
Provider's Profile
| Full Name | Kyle Shafer |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 176 1st Ave N, Ilwaco, Washington |
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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:
- Kyle Shafer graduated from nursing school in 2020
NPI Data:
- NPI Number: 1376172775
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 07/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 7315364585
- Enrollment ID: I20200807001391
Medical Identifiers
Medical identifiers for Kyle Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376172775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 61076997 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Public Hospital District 3 Of Pacific County | 7214822105 | 15 |
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. Kyle Shafer 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 |
|---|
Kyle Shafer,
35585 Bella Ridge Loop,
Astoria, OR 97103-6630
Ph: () - | Kyle Shafer,
176 1st Ave N,
Ilwaco, WA 98624-9137
Ph: (360) 642-3747 |
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