Shanice Atwell, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Tampa, Florida. Her current practice location is
401 W Kennedy Blvd, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(646) 637-2167.
Shanice Atwell is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396569976.
Provider's Profile
| Full Name | Shanice Atwell |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 401 W Kennedy Blvd, Tampa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396569976
- Provider Enumeration Date: 11/11/2024
- Last Update Date: 11/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436674363
- Enrollment ID: I20250513003826
Medical Identifiers
Medical identifiers for Shanice Atwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396569976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Shanice Atwell 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 |
Shanice Atwell, 401 W Kennedy Blvd, Tampa, FL 33606-1450 Ph: (646) 637-2167 | Shanice Atwell, 401 W Kennedy Blvd, Tampa, FL 33606-1450 Ph: (646) 637-2167 |
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