Kristie Shores, PA-C in New Tripoli, PA - Medicare Physician Assistant

Kristie Shores, PA-C is a medicare enrolled "Physician Assistant" physician in New Tripoli, Pennsylvania. Her current practice location is 7096 Decatur St, New Tripoli, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 298-8521.

Kristie Shores is licensed to practice in Pennsylvania (license number MA060130) 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 1942784319.

Contact Information

	Kristie Shores, PA-C
	7096 Decatur St, New Tripoli, PA 18066-3815
	(610) 298-8521
	Not Available

Physician's Profile

Full Name	Kristie Shores
Gender	Female
Speciality	Physician Assistant
Location	7096 Decatur St, New Tripoli, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942784319
Provider Enumeration Date: 09/20/2018
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5496007957
Enrollment ID: I20181010002994

Medical Identifiers

Medical identifiers for Kristie Shores such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942784319	NPI	-	NPPES
MA060130	Other	PA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MA060130 (Pennsylvania)	Secondary
363A00000X	Physician Assistant	MA060130 (Pennsylvania)	Primary

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. Kristie Shores 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
Kristie Shores, PA-C 1605 N Cedar Crest Blvd Ste 411, Allentown, PA 18104-2323 Ph: (484) 330-1377	Kristie Shores, PA-C 7096 Decatur St, New Tripoli, PA 18066-3815 Ph: (610) 298-8521

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Kristie Shores, PA-C - Medicare Physician Assistant in New Tripoli, PA