Clint Shepherd, is a
Foster Care Agency based in Marysvale, Utah. Clint Shepherd is licensed to practice in * (Not Available) (license number ) and his current practice location is
8510 S Ten Mile Rd, Marysvale, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 201-9215.
NPI number for Clint Shepherd is 1831490317 and his current mailing address is Po Box 133, Marysvale, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831490317.
Healthcare Provider's Profile
| Full Name | Clint Shepherd |
|---|
| Gender | Male |
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| Speciality | Foster Care Agency |
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| Location | 8510 S Ten Mile Rd, Marysvale, Utah |
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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: 1831490317
- Provider Enumeration Date: 11/15/2010
- Last Update Date: 11/15/2010
Medical Identifiers
Medical identifiers for Clint Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831490317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | (* (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. Clint Shepherd 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 |
|---|
Clint Shepherd,
Po Box 133,
Marysvale, UT 84750-0133
Ph: (435) 201-9215 | Clint Shepherd,
8510 S Ten Mile Rd,
Marysvale, UT 84750
Ph: (435) 201-9215 |
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