Shane Scamahorn, is a
Community Health Worker based in Ketchikan, Alaska. Shane Scamahorn is licensed to practice in * (Not Available) (license number ) and his current practice location is
435 Washington St, Ketchikan, Alaska. He can be reached at his office (for appointments etc.) via phone at
(509) 290-2461.
NPI number for Shane Scamahorn is 1376357657 and his current mailing address is 721 Stedman St, Ketchikan, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376357657.
Healthcare Provider's Profile
| Full Name | Shane Scamahorn |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 435 Washington St, Ketchikan, Alaska |
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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: 1376357657
- Provider Enumeration Date: 02/05/2025
- Last Update Date: 02/05/2025
Medical Identifiers
Medical identifiers for Shane Scamahorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376357657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Shane Scamahorn 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 |
|---|
Shane Scamahorn,
721 Stedman St,
Ketchikan, AK 99901-6632
Ph: (907) 225-7825 | Shane Scamahorn,
435 Washington St,
Ketchikan, AK 99901-5935
Ph: (509) 290-2461 |
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