Jonathan Anthony Shomo, PA is a
Physician Assistant - Medical based in Bridgewater, Virginia. Jonathan Anthony Shomo is licensed to practice in Virginia (license number 0110002842) and his current practice location is
110a N Main St, Bridgewater, Virginia. He can be reached at his office (for appointments etc.) via phone at
(540) 515-4325.
NPI number for Jonathan Anthony Shomo is 1689822652 and his current mailing address is 110a N Main St, Bridgewater, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689822652.
Provider's Profile
| Full Name | Jonathan Anthony Shomo |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
|---|
| Location | 110a N Main St, Bridgewater, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689822652
- Provider Enumeration Date: 09/03/2008
- Last Update Date: 08/19/2021
Medical Identifiers
Medical identifiers for Jonathan Anthony Shomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689822652 | NPI | - | NPPES |
| 1689822652 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 0110002842 (Virginia) | 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. Jonathan Anthony Shomo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Anthony Shomo, PA
110a N Main St,
Bridgewater, VA 22812-1301
Ph: (540) 515-4325 | Jonathan Anthony Shomo, PA
110a N Main St,
Bridgewater, VA 22812-1301
Ph: (540) 515-4325 |
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