David Shoup, in Fort Leonard Wood, MO - Medicare Physician Assistant

David Shoup, is a medicare enrolled "Physician Assistant" in Fort Leonard Wood, Missouri. His current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 596-9602.

David Shoup is licensed to practice in Missouri (license number 2000175328) 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 1386795722.

Contact Information

	David Shoup,
	4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
	(573) 596-9602
	Not Available

Map and Direction

Provider's Profile

Full Name	David Shoup
Gender	Male
Speciality	Physician Assistant
Location	4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386795722
Provider Enumeration Date: 01/14/2007
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2567424682
Enrollment ID: I20210909000874

Medical Identifiers

Medical identifiers for David Shoup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386795722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2000175328 (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. David Shoup 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
David Shoup, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-9602	David Shoup, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-9602

Reviews and Comments

Physician Assistant Nurses in Fort Leonard Wood, MO

Mr. Jon-marc Thibodeau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035
Rickey Rodger Martin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Charles Gang, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417
Mr. Rexford Allan Plank Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Toben Lybarger, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0456
Michael Steven Godat, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Mark S Short, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524

David Shoup, - Medicare Physician Assistant in Fort Leonard Wood, MO