Mr Shane Henry Duda, PA-C in Warren, OH - Medicare Physician Assistant

Mr Shane Henry Duda, PA-C is a medicare enrolled "Physician Assistant - Medical" in Warren, Ohio. His current practice location is 627 Eastland Ave Se Ste 102, Warren, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 306-5030.

Mr Shane Henry Duda is licensed to practice in Ohio (license number 50.004537) 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 1609248046.

Contact Information

	Mr Shane Henry Duda, PA-C
	627 Eastland Ave Se Ste 102, Warren, OH 44484-4501
	(330) 306-5030
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Shane Henry Duda
Gender	Male
Speciality	Physician Assistant - Medical
Location	627 Eastland Ave Se Ste 102, Warren, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609248046
Provider Enumeration Date: 10/26/2015
Last Update Date: 05/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4183927163
Enrollment ID: I20160126000370

Medical Identifiers

Medical identifiers for Mr Shane Henry Duda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609248046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	MA057965 (Pennsylvania)	Secondary
363AM0700X	Physician Assistant - Medical	50.004537 (Ohio)	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. Mr Shane Henry Duda 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
Mr Shane Henry Duda, PA-C 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 Ph: (330) 306-5030	Mr Shane Henry Duda, PA-C 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 Ph: (330) 306-5030

Reviews and Comments

Physician Assistant Nurses in Warren, OH

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Mr Shane Henry Duda, PA-C - Medicare Physician Assistant in Warren, OH