Zhaunn Mikhail Sly, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lubbock, Texas. His current practice location is
3601 4th St, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 743-3659.
Zhaunn Mikhail Sly is licensed to practice in * (Not Available) (license number ) 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 1295262129.
Physician's Profile
Full Name | Zhaunn Mikhail Sly |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3601 4th St, Lubbock, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295262129
- Provider Enumeration Date: 05/23/2017
- Last Update Date: 06/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 6800219668
- Enrollment ID: I20200713000982
Medical Identifiers
Medical identifiers for Zhaunn Mikhail Sly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295262129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | BP10060883 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Zhaunn Mikhail Sly 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 |
Zhaunn Mikhail Sly, MD 3601 4th St, Lubbock, TX 79430-6211 Ph: (806) 743-6147 | Zhaunn Mikhail Sly, MD 3601 4th St, Lubbock, TX 79430-5302 Ph: (806) 743-3659 |
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