Shane Mitchell, PA is a
Military Health Care Provider based in Ft Bliss, Texas. Shane Mitchell is licensed to practice in * (Not Available) (license number ) and his current practice location is
21227 Torch St, Ft Bliss, Texas. He can be reached at his office (for appointments etc.) via phone at
(159) 742-3294.
NPI number for Shane Mitchell is 1609541887 and his current mailing address is 3140 Heath Loop Apt C, West Point, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609541887.
Provider's Profile
Full Name | Shane Mitchell |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 21227 Torch St, Ft Bliss, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609541887
- Provider Enumeration Date: 08/10/2021
- Last Update Date: 07/14/2023
Medical Identifiers
Medical identifiers for Shane Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609541887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | 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. Shane Mitchell 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 |
Shane Mitchell, PA 3140 Heath Loop Apt C, West Point, NY 10996-1880 Ph: (951) 663-0918 | Shane Mitchell, PA 21227 Torch St, Ft Bliss, TX 79918 Ph: (159) 742-3294 |
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