Mrs Shirley Lucille Powell, PA-C in Redding, CA - Medicare Physician Assistant Provider

Mrs Shirley Lucille Powell, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Redding, California. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dignity Health Medical Foundation and her current practice location is 2510 Airpark Dr Ste 104, Redding, California. You can reach out to her office (for appointments etc.) via phone at (530) 242-3570.

Mrs Shirley Lucille Powell is licensed to practice in California (license number 16701) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134222169.

Contact Information

	Mrs Shirley Lucille Powell, PA-C
	2510 Airpark Dr Ste 104, Redding, CA 96001-2461
	(530) 242-3570
	(530) 242-3572

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shirley Lucille Powell
Gender	Female
Speciality	Physician Assistant
Experience	22 Years
Location	2510 Airpark Dr Ste 104, Redding, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shirley Lucille Powell graduated from medical school in 2002

NPI Data:

NPI Number: 1134222169
Provider Enumeration Date: 09/06/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8426236191
Enrollment ID: I20140506001592

Medical Identifiers

Medical identifiers for Mrs Shirley Lucille Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134222169	NPI	-	NPPES
09315405	Other		CERTIFIED DIABETES EDUCAT
16701	Other	CA	PHYSICIAN ASSISTANT
672043	Other		REGISTERED DIETITIAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	672043 (* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	16701 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oroville Hospital	Oroville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dignity Health Medical Foundation	7810800661	1209

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. Mrs Shirley Lucille Powell 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
Mrs Shirley Lucille Powell, PA-C 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () -	Mrs Shirley Lucille Powell, PA-C 2510 Airpark Dr Ste 104, Redding, CA 96001-2461 Ph: (530) 242-3570

Mrs Shirley Lucille Powell, PA-C - Medicare in Redding, CA