Mr Bradley Wayne Shelton, LCADC is a
Counselor - Addiction (substance Use Disorder) based in E Pineville, Kentucky. Mr Bradley Wayne Shelton is licensed to practice in Kentucky (license number 290092) and his current practice location is
120 E Kentucky Ave, E Pineville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 594-7479.
NPI number for Mr Bradley Wayne Shelton is 1639922487 and his current mailing address is 120 E Kentucky Ave, E Pineville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639922487.
Healthcare Provider's Profile
Full Name | Mr Bradley Wayne Shelton |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 120 E Kentucky Ave, E Pineville, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639922487
- Provider Enumeration Date: 04/10/2024
- Last Update Date: 04/10/2024
Medical Identifiers
Medical identifiers for Mr Bradley Wayne Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639922487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 290092 (Kentucky) | 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. Mr Bradley Wayne Shelton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Bradley Wayne Shelton, LCADC 120 E Kentucky Ave, E Pineville, KY 40977-1657 Ph: (606) 594-7479 | Mr Bradley Wayne Shelton, LCADC 120 E Kentucky Ave, E Pineville, KY 40977-1657 Ph: (606) 594-7479 |
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