Roderick Darnell Shine, CRNP - Nurse Practitioner in Montgomery, AL

Roderick Darnell Shine, CRNP is a Nurse Practitioner - Neonatal, Critical Care based in Montgomery, Alabama. Roderick Darnell Shine is licensed to practice in Alabama (license number 1-120663) and his current practice location is 2105 E South Blvd, Montgomery, Alabama. He can be reached at his office (for appointments etc.) via phone at (334) 288-2100.

NPI number for Roderick Darnell Shine is 1215459854 and his current mailing address is 90 Emerald Dr, Pike Road, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215459854.

Contact Information

Roderick Darnell Shine, CRNP
2105 E South Blvd,
Montgomery, AL 36116-2409
(334) 288-2100
Not Available

Map and Direction




Provider's Profile

Full NameRoderick Darnell Shine
GenderMale
SpecialityNurse Practitioner - Neonatal, Critical Care
Location2105 E South Blvd, Montgomery, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215459854
  • Provider Enumeration Date: 07/15/2017
  • Last Update Date: 07/15/2017

Medical Identifiers

Medical identifiers for Roderick Darnell Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215459854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0005XNurse Practitioner - Neonatal, Critical Care 1-120663 (Alabama)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. Roderick Darnell Shine 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 AddressPractice Location Address
Roderick Darnell Shine, CRNP
90 Emerald Dr,
Pike Road, AL 36064-2932

Ph: (334) 294-8029
Roderick Darnell Shine, CRNP
2105 E South Blvd,
Montgomery, AL 36116-2409

Ph: (334) 288-2100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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