Dr Shane Joseph, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Agana Heights, Guam. His current practice location is
Farenholt Avenue, Bldg 50, Agana Heights, Guam. You can reach out to his office (for appointments etc.) via phone at
(671) 344-9340.
Dr Shane Joseph is licensed to practice in California (license number A138026) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568876837.
Physician's Profile
Full Name | Dr Shane Joseph |
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Gender | Male |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | Farenholt Avenue, Agana Heights, Guam |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568876837
- Provider Enumeration Date: 06/16/2014
- Last Update Date: 09/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072990977
- Enrollment ID: I20220516000819
Medical Identifiers
Medical identifiers for Dr Shane Joseph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568876837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | A138026 (California) | 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 Shane Joseph 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 |
Dr Shane Joseph, MD Psc 455 Box 208, Fpo, AP 96540-0003 Ph: () - | Dr Shane Joseph, MD Farenholt Avenue, Bldg 50, Agana Heights, GU 96910 Ph: (671) 344-9340 |
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