Dr Zacchary Shepherd, CRNA - Medicare Nurse Anesthetist, Certified Registered in Joint Base Lewis Mcchord, WA

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Dr Zacchary Shepherd, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Joint Base Lewis Mcchord, Washington. His current practice location is 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1110.

Dr Zacchary Shepherd is licensed to practice in Kansas (license number 43-558007-012) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154053700.

Contact Information

Dr Zacchary Shepherd, CRNA
9040a Jackson Ave,
Joint Base Lewis Mcchord, WA 98431-5001
(253) 968-1110
Not Available

Map and Direction




Provider's Profile

Full NameDr Zacchary Shepherd
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location9040a Jackson Ave, Joint Base Lewis Mcchord, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154053700
  • Provider Enumeration Date: 06/30/2022
  • Last Update Date: 12/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103271457
  • Enrollment ID: I20231006001642

Medical Identifiers

Medical identifiers for Dr Zacchary Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154053700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 43-558007-012 (Kansas)Primary

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. Dr Zacchary Shepherd allows following entities to bill medicare on his behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789
Entity NameCapital Medical Center Specialty Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760785281
PECOS PAC ID: 2567651771
Enrollment ID: O20110104000592

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. Dr Zacchary Shepherd 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
Dr Zacchary Shepherd, CRNA
14675 Skog Rd,
Grantsburg, WI 54840-8381

Ph: (763) 447-9512		Dr Zacchary Shepherd, CRNA
9040a Jackson Ave,
Joint Base Lewis Mcchord, WA 98431-5001

Ph: (253) 968-1110

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Joint Base Lewis Mcchord, WA

Kenneth Jay Robles Selerio, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431
Phone: 253-968-2252    Fax: 253-968-3278
Maria Sarah Cole, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431
Phone: 253-986-1110    
Donald Vallier, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Reid St, Joint Base Lewis Mcchord, WA 98431
Phone: 253-968-2252    Fax: 253-968-3278

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.