Kim A Maletta Shibley, MD - Medicare Obstetrics & Gynecology in Waconia, MN

Kim A Maletta Shibley, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Waconia, Minnesota. Her current practice location is 560 S Maple St Ste 130, Waconia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 442-2191.

Kim A Maletta Shibley is licensed to practice in Minnesota (license number 37029) 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 1184685042.

Contact Information

Kim A Maletta Shibley, MD
560 S Maple St Ste 130,
Waconia, MN 55387-1753
(952) 442-2191
Not Available



Physician's Profile

Full NameKim A Maletta Shibley
GenderFemale
SpecialityObstetrics & Gynecology
Location560 S Maple St Ste 130, Waconia, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184685042
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 09/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951294032
  • Enrollment ID: I20111018000803

Medical Identifiers

Medical identifiers for Kim A Maletta Shibley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184685042NPI-NPPES
309325500MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 37029 (Minnesota)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. Kim A Maletta Shibley allows following entities to bill medicare on her behalf.
Entity NameRidgeview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528364429
PECOS PAC ID: 9234041997
Enrollment ID: O20031111000183

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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. Kim A Maletta Shibley 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
Kim A Maletta Shibley, MD
560 S Maple St Ste 130,
Waconia, MN 55387-1753

Ph: () -
Kim A Maletta Shibley, MD
560 S Maple St Ste 130,
Waconia, MN 55387-1753

Ph: (952) 442-2191

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Obstetrics & Gynecology Doctors in Waconia, MN

Amy J Meath, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 424 W State Highway 5, Waconia, MN 55387
Phone: 952-442-4461    Fax: 952-442-1598
Andraya J Huldeen-tibbetts, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387
Phone: 952-442-2137    Fax: 952-442-5904
Dr. Erin Luann Chinnock, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 424 W State Highway 5, Waconia, MN 55387
Phone: 952-442-4461    
Nancy K Cooley, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387
Phone: 952-442-2137    Fax: 952-442-5904
Dennis R Mohling, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387
Phone: 952-442-2137    Fax: 952-442-5904
Sarah A Freitas, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387
Phone: 952-442-2137    Fax: 952-442-5960

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