Mr Michael Severin Shultis, PA-C - Medicare Physician Assistant in Yakima, WA

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Mr Michael Severin Shultis, PA-C is a medicare enrolled "Physician Assistant" in Yakima, Washington. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Yakima Valley Memorial Physicians and his current practice location is 111 S 11th Ave Ste 320, Yakima, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 454-8888.

Mr Michael Severin Shultis is licensed to practice in Washington (license number PA60205742) 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 1013154038.

Contact Information

Mr Michael Severin Shultis, PA-C
111 S 11th Ave Ste 320,
Yakima, WA 98902-3273
(509) 454-8888
(509) 453-0061

Map and Direction




Provider's Profile

Full NameMr Michael Severin Shultis
GenderMale
SpecialityPhysician Assistant
Experience18 Years
Location111 S 11th Ave Ste 320, Yakima, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Michael Severin Shultis graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1013154038
  • Provider Enumeration Date: 01/13/2009
  • Last Update Date: 01/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688707797
  • Enrollment ID: I20110301000966

Medical Identifiers

Medical identifiers for Mr Michael Severin Shultis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013154038NPI-NPPES
2011328MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA60205742 (Washington)Secondary
363A00000XPhysician Assistant PA60205742 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yakima Valley MemorialYakima, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yakima Valley Memorial Physicians1557391596397

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. Mr Michael Severin Shultis allows following entities to bill medicare on his behalf.
Entity NameKittitas County Public Hospital Dist 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356375307
PECOS PAC ID: 0547179608
Enrollment ID: O20040213000046
Entity NameYakima Valley Memorial Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306933940
PECOS PAC ID: 1557391596
Enrollment ID: O20050818000714

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. Mr Michael Severin Shultis 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 AddressPractice Location Address
Mr Michael Severin Shultis, PA-C
Po Box 2309,
Yakima, WA 98907-2309

Ph: (509) 454-8888		Mr Michael Severin Shultis, PA-C
111 S 11th Ave Ste 320,
Yakima, WA 98902-3273

Ph: (509) 454-8888

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.