Dr Marvin Shelton, EDS, EDD, RSAP is a
Clinic/center based in Hazelwood, Missouri. Dr Marvin Shelton is licensed to practice in * (Not Available) (license number ) and his current practice location is
6110 Howdershell Rd, Hazelwood, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 942-9499.
NPI number for Dr Marvin Shelton is 1003364969 and his current mailing address is 4166 Lindell Blvd Apt 1b, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003364969.
Healthcare Provider's Profile
| Full Name | Dr Marvin Shelton |
|---|
| Gender | Male |
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| Speciality | Clinic/center |
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| Location | 6110 Howdershell Rd, Hazelwood, Missouri |
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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: 1003364969
- Provider Enumeration Date: 09/20/2016
- Last Update Date: 09/19/2019
Medical Identifiers
Medical identifiers for Dr Marvin Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003364969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9374 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 9374 (Missouri) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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. Dr Marvin Shelton 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 |
|---|
Dr Marvin Shelton, EDS, EDD, RSAP
4166 Lindell Blvd Apt 1b,
Saint Louis, MO 63108-2923
Ph: (314) 580-3029 | Dr Marvin Shelton, EDS, EDD, RSAP
6110 Howdershell Rd,
Hazelwood, MO 63042-1170
Ph: (314) 942-9499 |
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