Shea Nicole Church, PA-C is a medicare enrolled "Physician Assistant" physician in Rochester, Minnesota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mayo Clinic and her current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 284-2511.
Shea Nicole Church is licensed to practice in Minnesota (license number 13712) 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 1467014233.
Physician's Profile
| Full Name | Shea Nicole Church |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 200 1st St Sw, Rochester, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shea Nicole Church graduated from medical school in 2019
NPI Data:
- NPI Number: 1467014233
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991035586
- Enrollment ID: I20210514000220
Medical Identifiers
Medical identifiers for Shea Nicole Church such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467014233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0010-09228 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 13712 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mayo Clinic | 6507778255 | 4232 |
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. Shea Nicole Church 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 |
|---|
Shea Nicole Church, PA-C
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Shea Nicole Church, PA-C
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 |
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