Holly Nicole Shinnen, PA is a medicare enrolled "Physician Assistant" in Bristow, Oklahoma. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Warren Clinic Inc and her current practice location is
519 N Main St Ste 102, Bristow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 367-6611.
Holly Nicole Shinnen is licensed to practice in Oklahoma (license number 1517) 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 1891991576.
Provider's Profile
| Full Name | Holly Nicole Shinnen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 519 N Main St Ste 102, Bristow, Oklahoma |
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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:
- Holly Nicole Shinnen graduated from nursing school in 2005
NPI Data:
- NPI Number: 1891991576
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961599410
- Enrollment ID: I20071030000501
Medical Identifiers
Medical identifiers for Holly Nicole Shinnen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891991576 | NPI | - | NPPES |
| 200225650A | Medicaid | OK | |
| P01099343 | Other | OK | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1517 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Warren Clinic Inc | 8820900293 | 693 |
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. Holly Nicole Shinnen 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 |
|---|
Holly Nicole Shinnen, PA
6600 S Yale Ave Ste 1400,
Tulsa, OK 74136-3331
Ph: (888) 247-0125 | Holly Nicole Shinnen, PA
519 N Main St Ste 102,
Bristow, OK 74010-2016
Ph: (918) 367-6611 |
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