Selena Sheppard, PA-C is a medicare enrolled "Physician Assistant" in Walled Lake, Michigan. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Vmd Primary Providers Eastern Michigan Pc and her current practice location is
620 N Pontiac Trl, Walled Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 624-4511.
Selena Sheppard is licensed to practice in Michigan (license number 5601010742) 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 1295491041.
Provider's Profile
| Full Name | Selena Sheppard |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 620 N Pontiac Trl, Walled Lake, Michigan |
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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. |
Medical Education and Training:
- Selena Sheppard graduated from nursing school in 2021
NPI Data:
- NPI Number: 1295491041
- Provider Enumeration Date: 11/15/2021
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082009857
- Enrollment ID: I20220314000239
Medical Identifiers
Medical identifiers for Selena Sheppard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295491041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 5601010742 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Vmd Primary Providers Eastern Michigan Pc | 9234480575 | 60 |
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. Selena Sheppard 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 |
Selena Sheppard, PA-C 620 N Pontiac Trl, Walled Lake, MI 48390-3448 Ph: (248) 624-4511 | Selena Sheppard, PA-C 620 N Pontiac Trl, Walled Lake, MI 48390-3448 Ph: (248) 624-4511 |
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