Shanda Nicole Felton, PA is a medicare enrolled "General Practice" physician in Fuquay Varina, North Carolina. Her current practice location is
609 Attain St Ste 101, Fuquay Varina, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 567-0684.
Shanda Nicole Felton is licensed to practice in North Carolina (license number 0010-09102) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972161503.
Physician's Profile
| Full Name | Shanda Nicole Felton |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 609 Attain St Ste 101, Fuquay Varina, North Carolina |
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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: 1972161503
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921334483
- Enrollment ID: I20190723000574
Medical Identifiers
Medical identifiers for Shanda Nicole Felton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972161503 | NPI | - | NPPES |
| 0010-09102 | Other | NC | NORTH CAROLINA MEDICAL BOARD LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 0010-09102 (North Carolina) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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. Shanda Nicole Felton 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 |
Shanda Nicole Felton, PA 8 Durbin Pl, Durham, NC 27705-6127 Ph: (919) 423-7128 | Shanda Nicole Felton, PA 609 Attain St Ste 101, Fuquay Varina, NC 27526-1984 Ph: (919) 567-0684 |
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