Dr Clyde Norman Shealy, MD is a
Neurological Surgery physician based in Fair Grove, Missouri. Dr Clyde Norman Shealy is licensed to practice in Missouri (license number R6A47) and his current practice location is 5607 S 222nd Rd, Fair Grove, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 267-2900.
NPI number for Dr Clyde Norman Shealy is 1497909410 and his current mailing address is 5607 S. 222nd Rd, Fair Grove, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497909410.
Physician's Profile
Full Name | Dr Clyde Norman Shealy |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 5607 S 222nd Rd, Fair Grove, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497909410
- Provider Enumeration Date: 11/05/2008
- Last Update Date: 11/05/2008
Medical Identifiers
Medical identifiers for Dr Clyde Norman Shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497909410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | R6A47 (Missouri) | 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. Dr Clyde Norman Shealy 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 |
Dr Clyde Norman Shealy, MD 5607 S. 222nd Rd, Fair Grove, MO 65648 Ph: (417) 267-2900 | Dr Clyde Norman Shealy, MD 5607 S 222nd Rd, Fair Grove, MO 65648-8192 Ph: (417) 267-2900 |
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