Holly Nicole Shinnen, PA is a medicare enrolled "Physician Assistant" in Bristow, Oklahoma. 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
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for 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 | |
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Experience | Years |
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Location | 519 N Main St Ste 102, Bristow, Oklahoma |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Holly Nicole Shinnen attended and graduated from in
NPI Data:
- NPI Number: 1891991576
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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