Mr Kevin Micheal Shelton, is a
Case Manager/care Coordinator based in Los Angeles, California. Mr Kevin Micheal Shelton is licensed to practice in * (Not Available) (license number ) and his current practice location is
5715 S Broadway, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 948-0444.
NPI number for Mr Kevin Micheal Shelton is 1366565491 and his current mailing address is 5715 S Broadway, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366565491.
Healthcare Provider's Profile
| Full Name | Mr Kevin Micheal Shelton |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 5715 S Broadway, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366565491
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 12/15/2015
Medical Identifiers
Medical identifiers for Mr Kevin Micheal Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366565491 | NPI | - | NPPES |
| 743045262 | Other | CA | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Mr Kevin Micheal 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 Kevin Micheal Shelton,
5715 S Broadway,
Los Angeles, CA 90037-4131
Ph: (323) 948-0444 | Mr Kevin Micheal Shelton,
5715 S Broadway,
Los Angeles, CA 90037-4131
Ph: (323) 948-0444 |
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