Shadoe M Daniels, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Callicoon, New York. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cooperstown Medical Center and his current practice location is
8881 Ny-97, Callicoon, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 333-6800.
Shadoe M Daniels is licensed to practice in New York (license number 024896) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215596317.
Provider's Profile
| Full Name | Shadoe M Daniels |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 8881 Ny-97, Callicoon, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shadoe M Daniels graduated from nursing school in 2019
NPI Data:
- NPI Number: 1215596317
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688900103
- Enrollment ID: I20221115001633
Medical Identifiers
Medical identifiers for Shadoe M Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215596317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 024896 (New York) | Primary |
| 363AM0700X | Physician Assistant - Medical | PAC0965 (North Dakota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA060726 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cooperstown Medical Center | 5698687689 | 12 |
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. Shadoe M Daniels 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 |
|---|
Shadoe M Daniels, MPAS, PA-C
8881 Ny-97,
Callicoon, NY 12723
Ph: (845) 333-6800 | Shadoe M Daniels, MPAS, PA-C
8881 Ny-97,
Callicoon, NY 12723
Ph: (845) 333-6800 |
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