Serena Amber-nelle Shafer, AUD - Medicare Audiologist in Tigard, OR

Serena Amber-nelle Shafer, AUD is a medicare enrolled "Audiologist" provider in Tigard, Oregon. Her current practice location is 9250 Sw Hall Blvd, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 293-0161.

Serena Amber-nelle Shafer is licensed to practice in Oregon (license number 22815) 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 1679766208.

Contact Information

Serena Amber-nelle Shafer, AUD
9250 Sw Hall Blvd,
Tigard, OR 97223
(503) 293-0161
Not Available



Healthcare Provider's Profile

Full NameSerena Amber-nelle Shafer
GenderFemale
SpecialityAudiologist
Location9250 Sw Hall Blvd, Tigard, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679766208
  • Provider Enumeration Date: 08/27/2007
  • Last Update Date: 02/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0143248831
  • Enrollment ID: I20070921000711

Medical Identifiers

Medical identifiers for Serena Amber-nelle Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679766208NPI-NPPES
2103468MedicaidWA
241546MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 22815 (Oregon)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. Serena Amber-nelle Shafer allows following entities to bill medicare on her behalf.
Provider NamePortland Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1558379099
PECOS PAC ID: 8224942867
Enrollment ID: O20031118000101

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› Verified 9 days ago

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. Serena Amber-nelle 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 AddressPractice Location Address
Serena Amber-nelle Shafer, AUD
847 Ne 19th Ave Ste 300,
Portland, OR 97232-2686

Ph: (503) 963-2801
Serena Amber-nelle Shafer, AUD
9250 Sw Hall Blvd,
Tigard, OR 97223

Ph: (503) 293-0161

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Audiologist in Tigard, OR

Dr. Maralyn Dennise Martindale, AUD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223
Phone: 503-227-3668    Fax: 503-227-2234
Portland Audiology Clinic, Llc
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223
Phone: 503-227-3668    Fax: 503-227-2234
Ms. Anne Elizabeth Heassler, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 11740 Sw 68th Pkwy, Tigard, OR 97223
Phone: 971-277-3245    
Mr. Jacob Michael Beadles, AUD.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 9735 Sw Shady Ln Ste 302, Tigard, OR 97223
Phone: 503-227-3668    Fax: 503-227-2234
Dr. Consuelo Anna Perez, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223
Phone: 503-293-0161    
Marsha J Owen, AU.D
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223
Phone: 503-293-0161    

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