Shannon Wayne Caddell, is a
Pharmacist - Geriatric based in Paradise, Texas. Shannon Wayne Caddell is licensed to practice in Texas (license number 37247) and his current practice location is
181 Private Road 3454, Paradise, Texas. He can be reached at his office (for appointments etc.) via phone at
(682) 225-1975.
NPI number for Shannon Wayne Caddell is 1437742384 and his current mailing address is 805 N Whittington Pkwy, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437742384.
Healthcare Provider's Profile
| Full Name | Shannon Wayne Caddell |
|---|
| Gender | Male |
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| Speciality | Pharmacist - Geriatric |
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| Location | 181 Private Road 3454, Paradise, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437742384
- Provider Enumeration Date: 02/11/2021
- Last Update Date: 02/11/2021
Medical Identifiers
Medical identifiers for Shannon Wayne Caddell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437742384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1835G0303X | Pharmacist - Geriatric | 37247 (Texas) | 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. Shannon Wayne Caddell 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 |
|---|
Shannon Wayne Caddell,
805 N Whittington Pkwy,
Louisville, KY 40222-7101
Ph: () - | Shannon Wayne Caddell,
181 Private Road 3454,
Paradise, TX 76073-2447
Ph: (682) 225-1975 |
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